MR. MARK DUDLEY APRN
NPI 1144223678
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Salt Lake City, UT

Q: What is Mark Dudley's NPI number?

The NPI number for Mark Dudley is 1144223678. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Q: What is Mark Dudley's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Q: When was this NPI record last updated?

The NPPES record for Mark Dudley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2005

1399 S 700 E STE 11B, SALT LAKE CITY, UT 84105(801) 918-9890(801) 466-3195 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Mark Dudley Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK DUDLEY APRN (NPI 1144223678) is an individual psychiatric/mental health, adult provider in Salt Lake City, Utah, licensed in Utah (1361364405) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1144223678

Entity TypeIndividualMale

Primary Taxonomy364SP0809X

Provider Legal NameMR. MARK DUDLEYCredential: APRN

Location Address1399 S 700 E STE 11BSalt Lake City, UT 84105-2149

Mailing Address2386 Snow Mountain DrSandy, UT 84093-1753 · (801) 733-4376 · Fax (801) 466-3195

Phone(801) 918-9890

Fax(801) 466-3195

Sole ProprietorYes

Enumeration DateMay 30, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1144223678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0809X

License✔ Licensed in UT · 1361364405

1399 S 700 E STE 11B, Salt Lake City, UT 84105

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Other Names 1

Professional Name (2)Mark Dudley

Other Identifiers 5

OtherP33212UT · Medicare Advantage Plus

Other94293834884047A017UT · Champus

Medicare UPINP33212

Other262137UT · Deseret Mutual

Other107002906101UT · Intermountain Health Care

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Dudley's NPI number?

The NPI number for Mark Dudley is 1144223678. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Where is Mark Dudley located?

Mark Dudley practices at 1399 S 700 E Ste 11B, Salt Lake City, UT 84105. The listed phone number is (801) 918-9890.

What is Mark Dudley's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

When was this NPI record last updated?

The NPPES record for Mark Dudley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.