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Contact Information

RETHA S DUDLEY, NP
1200 MCLAIN STREET
NEWPORT, AR72112
 Phone: 870-523-5272
 Fax: 870-523-4292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RETHA S DUDLEY · (Female)

NPI # 1912953407
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/26/2006
Last updated 02/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AR License # A01291
  • AR Other 500000784 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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