Individual
MS. CARRIE A DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5153
Mailing address
860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 23606-4434
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001954
VA
Other
Enumeration date
07/14/2006
Last updated
12/08/2016
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