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NPI Code Detail

MEDICARE: MRS. MEGAN DUDLEY CRNA

MEDICARE: MRS. MEGAN DUDLEY CRNA
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
1367500000XCertified Registered Nurse Anesthetist961733TX

General Provider Information

NPI Number : 1457210676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN DUDLEY CRNA
Provider Business Mailing Address
First Line : 5310 WESTMINSTER CT S
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-4824
Country : US
Telephone Number : 815-520-2073
Fax Number : 815-520-2073
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ MRS. MEGAN DUDLEY CRNA” Practice Location

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