Mary L Gudewich, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN114855 Issued in AZ

Practice address

646 S Cardinal St
Gilbert, AZ 85296-9528

Phone

(480) 917-9900

Fax

(480) 917-3400

NPI assigned

Dec 13, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1114295516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S CARDINAL ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969528",
            "telephone_number": "480-917-9900",
            "fax_number": "480-917-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S CARDINAL ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969528",
            "telephone_number": "480-917-9900",
            "fax_number": "480-917-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDEWICH",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN114855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Registered Nurse in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.