Provider Demographics
NPI:1922472042
Name:DUDLEY, BARBARA L (CNM)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:DUDLEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:L
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:240 GOLDENBERRY LN
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-3859
Mailing Address - Country:US
Mailing Address - Phone:434-989-5686
Mailing Address - Fax:
Practice Address - Street 1:240 GOLDENBERRY LN
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:VA
Practice Address - Zip Code:23093-3859
Practice Address - Country:US
Practice Address - Phone:434-989-5686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173061367A00000X
VA0001179626363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife