Vivian Dudley
Vivian Dudley is a Nurse Practitioner in Bourbon, Missouri. Qualified in 2000, 26 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 26
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
125 N Old Hwy 66Bourbon, MO 65441
Phone: (573) 679-2006
Fax: (573) 679-2009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 142760 (MO) |
|---|
Record details
| NPI number | 1013018654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 26, 2006 |
| Last updated in NPPES | August 25, 2014 |
| Mailing address | 125 N Old Hwy 66, Bourbon, MO 65441 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Mercy Clinic East Communities — 573 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |