| Mary Gdula, FNP | |
|
1 Clinic Road, Grand Canyon, AZ 86023 | |
| (928) 213-6121 | |
| (928) 213-6136 |
| Full Name | Mary Gdula |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Clinic Road, Grand Canyon, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124092242 | NPI | - | NPPES |
| 764755 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN116942 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP1443 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Gdula, FNP Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 233-5110 | Mary Gdula, FNP 1 Clinic Road, Grand Canyon, AZ 86023 Ph: (928) 213-6121 |
Krystal D Carey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Clinic Road, Grand Canyon, AZ 86023 Phone: 928-638-2551 Fax: 928-638-2598 | |
Mr. Charles Jay Bawcom, APRN-RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Clinic Rd # 369, Grand Canyon, AZ 86023 Phone: 928-638-2551 Fax: 928-638-2598 |