MS. STACEY GIDNER WUDYKA NP NPI 1649778069

NPI Information

NPI: 1649778069
Provider Name: MS. STACEY GIDNER WUDYKA, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
11368 ALLEN RD
TAYLOR, MI
ZIP 48180
Phone: (734) 403-2222
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MS. Stacey Gidner Wudyka, NP is a family nurse practitioner in Taylor, MI. MS. Stacey Gidner Wudyka, NP NPI is 1649778069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11368 ALLEN RD
TAYLOR, MI
ZIP 48180-372
Phone: (734) 403-2222
Fax: (734) 403-2400

The NPI 1649778069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2018 and was last updated on 1/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704202910	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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