Individual provider · Type 1 NPI

Mary Gundersen, RN, CDE

Diabetes Educator Registered Nurse · Staten Island, NY

NPI number 1932436854 Active

Practice location

242 Mason Ave, Diabetes Education - 1st Floor
Staten Island, NY 10305-3408

Fax (718) 226-1438

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X385302-1 (NY)
Diabetes Educator Registered Nurse 163WD0400X0942-0278 (NY)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1932436854

Mary Gundersen, RN, CDE's National Provider Identifier is 1932436854, issued on Nov 13, 2009. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Staten Island, NY. The record was last updated on Nov 13, 2009.