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NPI Code Detail

MEDICARE: MRS. SARAH KAY DUDLEY APRN

MEDICARE: MRS. SARAH KAY DUDLEY APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1010023846VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265545602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH KAY DUDLEY APRN
Provider Business Mailing Address
First Line : 74 PLEASANT ST
Second Line : STE 204
City : NEW LONDON
State : NH
Zip : 03257-5881
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 87 MAIN ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3234
Country : US
Telephone Number : 802-847-8354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 01/10/2017

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