Vivian Dudley is a Bourbon, Missouri based nurse practitioner with 24 years of experience in . She completed her graduation in 2000. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Vivian Dudley is 142760 in Missouri. Her current practice location is 125 N Old Hwy 66, Bourbon. Patients can reach her at 573-679-2006 or can fax her at 573-679-2009 and her NPI number (Unique professional ID assigned by NPPES) is 1013018654. Vivian Dudley has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Vivian Dudley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628158391
Enrollment ID:
I20080108000085
NPI Number:
1013018654
NPI Enumeration Date:
26 Sep, 2006
NPI Last Update On:
25 Aug, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivian Dudley are as mentioned below.
License Number
Specialization
State
Status
142760
Missouri
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(260052)
Washington, MO
Acute Care Hospital
(260017)
Rolla, MO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Vivian Dudley is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mercy Clinic East Communities (7214827922)
436
Other Medical Identifiers:
Other legacy medical identifiers associated with Vivian Dudley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1013018654
Medicaid
Missouri
425076205
Medicaid
Missouri
P01134574
Other
Missouri
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Vivian Dudley 125 N Old Hwy 66, Bourbon, Missouri
Zip:
65441
Phone Number:
573-679-2006
Patients can reach Vivian Dudley at 125 N Old Hwy 66, Bourbon, Missouri or can call to book an appointment on 573-679-2006.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.