Healthcare Provider Details

I. General information

NPI: 1851231765
Provider Name (Legal Business Name): MCAULEY DUDA FDN, CNP, NUTRITIONI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 S NAVAJO ST
SALT LAKE CITY UT
84104-2820
US

IV. Provider business mailing address

1224 S NAVAJO ST
SALT LAKE CITY UT
84104-2820
US

V. Phone/Fax

Practice location:
  • Phone: 413-519-2374
  • Fax:
Mailing address:
  • Phone: 413-519-2374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: