Dudley, Tracey Suzanne

Dudley, Tracey Suzanne is an sole proprietor health care provider with primary practice located at 3613 Nw 56Th St Ste 150 , Oklahoma City OK 73112-4506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dudley, Tracey Suzanne can be contacted via phone (405) 600-1210.

Contact Information

Primary practice address
3613 Nw 56Th St Ste 150 Oklahoma City OK 73112-4506
Phone: (405) 600-1210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 101402 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101402 Oklahoma

Profile Details

NPI number 1578065777
LBN Legal business name Dudley, Tracey Suzanne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2018
Last updated Feb 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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