Provider Demographics
NPI:1265745228
Name:DUDEK, ELEANOR MURPHY (CNP, PMHNP, ARNP)
Entity type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:MURPHY
Last Name:DUDEK
Suffix:
Gender:F
Credentials:CNP, PMHNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 724
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:ME
Mailing Address - Zip Code:04084
Mailing Address - Country:US
Mailing Address - Phone:207-653-3199
Mailing Address - Fax:866-773-7540
Practice Address - Street 1:24 BONNY EAGLERD
Practice Address - Street 2:STANDISH
Practice Address - City:STANDISH
Practice Address - State:ME
Practice Address - Zip Code:04084-6103
Practice Address - Country:US
Practice Address - Phone:207-653-3199
Practice Address - Fax:866-773-7540
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP101021363LP0808X
MECNP1010212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health