Individual provider · Type 1 NPI

Mary Lou Udicious, CRNP

Adult Health Nurse Practitioner · Media, PA

NPI number 1124037296 Active

Practice location

1088 W Baltimore Pike, Suite 2500
Media, PA 19063-5146

Fax (610) 565-8349

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XSP009093 (PA)

Adult Health Nurse Practitioner: Definition to come...

72 other providers at this address

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About NPI 1124037296

Mary Lou Udicious, CRNP's National Provider Identifier is 1124037296, issued on Aug 6, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Media, PA. The record was last updated on Jun 17, 2010.