Individual provider · Type 1 NPI
Mary Gdula, FNP
Family Nurse Practitioner · Grand Canyon, AZ
NPI number
1124092242
Active
Practice location
1 Clinic Road
Grand Canyon, AZ 86023
Fax (928) 213-6136
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN116942 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | AP1443 (AZ) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- North Country Healthcare Inc.Urgent Care Clinic/Center Grand Canyon, AZ NPI 1366774044
- North Country Healthcare, Inc.Multi-Specialty Clinic/Center Grand Canyon, AZ NPI 1891810024
- Julie L. Stone, PTPhysical Therapist Grand Canyon, AZ NPI 1992858310
- Krystal D. Carey, FNPFamily Nurse Practitioner Grand Canyon, AZ NPI 1093012213
- Thomas Martin, PTPhysical Therapist Grand Canyon, AZ NPI 1013981133
Other family nurse practitioner providers in Grand Canyon
About NPI 1124092242
Mary Gdula, FNP's National Provider Identifier is 1124092242, issued on Feb 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Canyon, AZ. The record was last updated on Oct 22, 2013.