FRANK WAYNE DUDLEY JR. (NPI# 1073893491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073893491 |
| Entity Type | Individual |
| Full Name | FRANK WAYNE DUDLEY JR. |
| Practice Address |
702 N Lovekin Blvd Blythe CA 92225-1128 |
| Practice Telephone | 7609220068 |
| Mailing Telephone | 7609220068 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
702 N LOVEKIN BLVD |
| City | BLYTHE |
| State | CA |
| Zip Code | 92225-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| 1760890982 | Keith Hoyt Wells I | Pharmacist | 616 E. Hobson Way, Blythe, CA 92225 | 2014-07-31 |
| 1447673967 | Silvia Herrera | Nurse Practitioner | 332 W Hobson Way, Blythe, CA 92225 | 2014-02-04 |
| 1821262767 | Marvin Paul Vernon | Social Worker | 246 N Hobson Way, Blythe, CA 92225 | 2008-04-22 |
| 1083882492 | Blythe Eye Care Medical Group | Optometrist | 600 E Hobson Way, Blythe, CA 92225 | 2008-02-19 |
| 1215159553 | Douglas John Meyer | Physical Therapist | 205 N. First Street, Suite E, Blythe, CA 92225 | 2007-05-03 |
| 1598895955 | Emmanuel R Mofu | Family Medicine | 495 North Main Street, Blythe, CA 92225 | 2007-03-06 |
| 1154408961 | Sheereen Ahranjani | Social Worker | 1297 W. Hobsonway, Blythe, CA 92225 | 2006-11-01 |
| 1326123399 | Salud | Family Medicine | 176 S Palm Drive, Blythe, CA 92225 | 2006-10-26 |
| Find all providers in zip 92225 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427338847 | Ashley Nicole White | Student in an Organized Health Care Education/Training Program | 311 Alice Ln, Blythe, CA 92225-2807 | 2011-08-17 |
| 1306126727 | Candida Escher | Student in an Organized Health Care Education/Training Program | 451 S 7th St, Blythe, CA 92225-2829 | 2011-08-17 |
| 1245510668 | Jessica R Youso | Student in an Organized Health Care Education/Training Program | 285 Shannon St, Blythe, CA 92225-1291 | 2011-08-17 |
| 1770863193 | Edward Kenneth Gallegos | Student in an Organized Health Care Education/Training Program | 339 S Spring St, Blythe, CA 92225-2728 | 2011-08-17 |
| 1598045916 | Jose E Morales | Student in an Organized Health Care Education/Training Program | 535 W Barnard St, Blythe, CA 92225-1534 | 2011-08-17 |
| 1689954000 | Tania P Uribe | Student in an Organized Health Care Education/Training Program | 535 W Barnard St Apt 6, Blythe, CA 92225-1500 | 2011-08-17 |
| 1770874042 | Abriana Michelle Rodriguez | Student in an Organized Health Care Education/Training Program | 621 Holley Ln, Blythe, CA 92225-1147 | 2011-04-21 |
| 1851681803 | Crystal Maree Castaneda | Student in an Organized Health Care Education/Training Program | 526 N 4th St, Blythe, CA 92225-1224 | 2011-04-12 |
| 1841580891 | Veronica Covello | Student in an Organized Health Care Education/Training Program | 590 N Sola Ave, Blythe, CA 92225-1257 | 2011-04-12 |
| 1588954531 | Salina Singhavong | Student in an Organized Health Care Education/Training Program | 150 W Chaparral Dr, Blythe, CA 92225-1227 | 2011-04-12 |
| Find all providers in BLYTHE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.