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Individual

MS. PATRICIA ANN DUDLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
840 MONTCLAIR RD STE 602, BIRMINGHAM, AL 35213-1947
(205) 592-5049
Mailing address
5576 MATT AARON LN, BIRMINGHAM, AL 35215-4079
(205) 854-5162

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-022950
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51524543DUD
BLUE CROSSBLUE SHIELD PIN
AL
01
P75272
BC BS UNIQUE PIN
AL
Enumeration date
02/26/2007
Last updated
07/09/2007
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