Udicious, Mary Lou

Udicious, Mary Lou is an sole proprietor health care provider with primary practice located at 1088 W Baltimore Pike Suite 2500, Media PA 19063-5146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Udicious, Mary Lou can be contacted via phone (610) 565-4107.

Contact Information

Primary practice address
1088 W Baltimore Pike Suite 2500 Media PA 19063-5146
Phone: (610) 565-4107
Fax: (610) 565-8349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP009093 Pennsylvania

Profile Details

NPI number 1124037296
LBN Legal business name Udicious, Mary Lou
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2006
Last updated Jun 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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