Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 95006399 | CA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APN.0995994-NP | CO |
NPI | 1376059980 |
---|---|
Provider Name | Erika A Dudley |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2017 |
Last Update Date | 14/08/2021 |