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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY GDULA, FNP

Active

MARY GDULA, FNP is a Family Nurse Practitioner healthcare provider located in GRAND CANYON, Arizona. NPI 1124092242 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · GRAND CANYON, AZ

Registration Details

NPI Number
1124092242
Provider Type
Individual
Gender
Female
NPI Issued
Feb 15, 2006 (20.489935319455 yrs)
Last Updated
Oct 22, 2013
Licenses
RN116942 (AZ)
AP1443 (AZ)

Practice Information

Address
1 CLINIC ROAD
GRAND CANYON, AZ, 86023
Browse AZ providers · Browse ZIP 86023
Phone
9282136121
Fax
9282136136
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in GRAND CANYON, AZ

Name Credential NPI
KRYSTAL D CAREY FNP 1093012213
MR. CHARLES JAY BAWCOM APRN-RNP 1801419841
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.