Individual
MRS. MARY FAITH DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1931 MEDICAL AVE, HARRISONBURG, VA 22801-3437
(540) 564-5600
(540) 564-5601
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024173745
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184077935
—
VA
Enumeration date
07/18/2016
Last updated
11/02/2021
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