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MARY LOU UDICIOUS CRNP
NPI 1124037296
Nurse Practitioner - Adult Health in Media, PA

Active since August 06, 2006
1088 W BALTIMORE PIKE, SUITE 2500, MEDIA, PA 19063(610) 565-4107(610) 565-8349 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lou Udicious Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LOU UDICIOUS CRNP (NPI 1124037296) is an individual adult health provider in Media, Pennsylvania, licensed in Pennsylvania (SP009093) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124037296
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY LOU UDICIOUSCredential: CRNP
Location Address1088 W BALTIMORE PIKE, SUITE 2500Media, PA 19063-5146
Mailing Address1088 W Baltimore Pike, Suite 2500Media, PA 19063-5146 · (610) 565-4107 · Fax (610) 565-8349
Phone(610) 565-4107
Fax(610) 565-8349
Sole ProprietorYes
Enumeration DateAugust 6, 2006
Last NPPES UpdateJune 17, 2010
✔ NPI 1124037296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP009093
1088 W BALTIMORE PIKE, Media, PA 19063
Open in Google Maps ↗

Other Names 1

Other Name (5)Mary Louise Udicious Crnp

Other Identifiers 2

Medicare PIN104425PF8PA
Medicare UPINQ72657PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCO A ALBORNOZ MD
Internal Medicine
1088 W BALTIMORE PIKE, SUITE 2105
MEDIA, PA 19063
Delaware County (610) 237-5801
STUART S BARISH MD
Internal Medicine (Gastroenterology)
1088 W BALTIMORE PIKE, HCC-II, SUITE 2407
MEDIA, PA 19063
Delaware County (610) 565-1808
SEAN MCCONNELL MD
Obstetrics & Gynecology
1088 W BALTIMORE PIKE, HCC II, SUITE 2303
MEDIA, PA 19063
Delaware County (610) 627-4400
JANEEN A FRANZ CRNP
Nurse Practitioner (Adult Health)
1088 W BALTIMORE PIKE, SUITE 2500
MEDIA, PA 19063
Delaware County (610) 565-4107
DR. HELEN ANNE WOLFSON MD, LLC.
Internal Medicine
1088 W BALTIMORE PIKE, HCC II STE 2202
MEDIA, PA 19063
Delaware County (610) 566-5970
MICHAEL GOODKIN MD
Internal Medicine (Cardiovascular Disease)
1088 W BALTIMORE PIKE, SUITE 2400
MEDIA, PA 19063
Delaware County (610) 565-2100
DR. ALLISON T. HANNAN M.D.
Family Medicine
1088 W BALTIMORE PIKE, SUITE 2301 RIDDLE HEALTH CTR 2
MEDIA, PA 19063
Delaware County (484) 227-8175
RICHARD R MCCURDY JR. MD
Internal Medicine (Cardiovascular Disease)
1088 W BALTIMORE PIKE, STE 2500
MEDIA, PA 19063
Delaware County (610) 565-4107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Udicious's NPI number?

The NPI number for Mary Udicious is 1124037296. It was assigned to this individual provider in the NPPES registry on August 6, 2006. The provider is also known as Mary Louise Udicious Crnp.

Where is Mary Udicious located?

Mary Udicious practices at 1088 W Baltimore Pike Suite 2500, Media, PA 19063. The listed phone number is (610) 565-4107.

What is Mary Udicious's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Udicious was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.