Individual provider · Type 1 NPI

Stacey Gidner Wudyka, NP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1649778069 Active

Practice location

1650 Market St Ste 3600
Philadelphia, PA 19103-7334

Fax (629) 240-6003

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087

Other practice locations

  • 11368 Allen Rd, Taylor, MI 48180-4372 · (734) 403-2222

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XSP034323 (PA)
Family Nurse Practitioner Primary 363LF0000X4704202910 (MI)

Family Nurse Practitioner: Definition to come...

53 other providers at this address

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About NPI 1649778069

Stacey Gidner Wudyka, NP's National Provider Identifier is 1649778069, issued on Jan 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 26, 2026.