Provider Demographics
NPI:1194954917
Name:DUDUIT, BECKY KAY (RN)
Entity type:Individual
Prefix:MS
First Name:BECKY
Middle Name:KAY
Last Name:DUDUIT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:BECKY
Other - Middle Name:KAY
Other - Last Name:OSTAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11063 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43115-9733
Mailing Address - Country:US
Mailing Address - Phone:740-993-2328
Mailing Address - Fax:740-993-2228
Practice Address - Street 1:11063 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:OH
Practice Address - Zip Code:43115-9733
Practice Address - Country:US
Practice Address - Phone:740-993-2328
Practice Address - Fax:740-993-2228
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 00150479163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse