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Mary Lou Udicious, CRNP
Adult Health Nurse Practitioner in Media, Pennsylvania
NPI 1124037296

Mary Lou Udicious is an Adult Health Nurse Practitioner based in Media, PA and is specialized in Adult Health. Mary Lou Udicious practices in Media, PA and has the professional credentials of CRNP. The NPI Number for Mary Lou Udicious is 1124037296 and holds a License No. SP009093 (Pennsylvania).

The current practice location address for Mary Lou Udicious is 1088 W Baltimore Pike, Media, PA and can be reached out via phone at 610-565-4107 and via fax at 610-565-8349.

Location: 1088 W Baltimore Pike, Media, PA, 19063-5146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124037296
Provider Name
Mary Lou Udicious
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1088 W Baltimore Pike, Media, PA, 19063-5146
Phone Number
610-565-4107
Fax Number
610-565-8349
Provider Enumeration Date
08/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1088 W Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-5146
Phone Number
610-565-4107
Fax Number
610-565-8349
person
Provider Business Mailing Address Details
Address
1088 W Baltimore Pike
City
Media
State
Pennsylvania
Zip
19063-5146
Phone Number
610-565-4107
Fax Number
610-565-8349
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
SP009093 (Pennsylvania)
Definition
Definition to come...
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