Individual
VALERIE A DUDZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN318910-COA1
OH
363L00000X
Nurse Practitioner
Primary
COA.11514-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0932227
—
OH
Enumeration date
08/20/2010
Last updated
05/13/2022
Update your record
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