IndividualActive
Nanette Dudley, MD
NPI 1508947391 · Pediatric Emergency Medicine (Pediatrics) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1508947391
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 187756-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 581100
Salt Lake City, UT 84158-1100
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.