Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Lou Udicious, CRNP

Individual provider Adult Health Nurse Practitioner · NPI 1124037296

Mary Lou Udicious, CRNP is an Adult Health Nurse Practitioner in Media, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1088 W Baltimore Pike Ste 2500
Media, PA 19063-5146
Phone: (610) 565-4107
Fax: (610) 565-8349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP009093 (PA)

Record details

NPI number1124037296
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedAugust 6, 2006
Last updated in NPPESJune 17, 2010

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