Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY LOU UDICIOUS, CRNP
Active Sole ProprietorMARY LOU UDICIOUS, CRNP is a Adult Health Nurse Practitioner healthcare provider located in MEDIA, Pennsylvania. NPI 1124037296 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MEDIA, PA
Registration Details
- NPI Number
- 1124037296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2006 (20.001244048775 yrs)
- Last Updated
- Jun 17, 2010
- License
-
SP009093 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1088 W BALTIMORE PIKESUITE 2500MEDIA, PA, 190635146Browse PA providers · Browse ZIP 19063
- Phone
- 6105654107
- Fax
- 6105658349
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in MEDIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. M. ELAYNE DESIMONE | NP | 1972574788 |
| KATHLEEN COULTER | CRNP | 1487629663 |
| KATHLEEN BORSA MALONE | CRNP | 1215969530 |
| JANEEN A FRANZ | CRNP | 1033122494 |
| MS. DESALES FOSTER | CRNP | 1750588927 |
| MRS. ELLAH C. NOTA | CRNP | 1093094179 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.