MS. MARY GUNDERSEN RN CDE NPI 1932436854

NPI Information

NPI: 1932436854
Provider Name: MS. MARY GUNDERSEN, RN, CDE
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
242 MASON AVE
DIABETES EDUCATION - 1ST FLOOR
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 226-1547
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MS. Mary Gundersen, RN, CDE is a diabetes educator registered nurse in Staten Island, NY. MS. Mary Gundersen, RN, CDE NPI is 1932436854. 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:

242 MASON AVE
DIABETES EDUCATION - 1ST FLOOR
STATEN ISLAND, NY
ZIP 10305-408
Phone: (718) 226-1547
Fax: (718) 226-1438

The enumeration date for this NPI number is 11/13/2009 and was last updated on 11/13/2009.

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	163WD0400X	Registered Nurse	Diabetes Educator	0942-0278	NEW YORK	No
2	163WD0400X	Registered Nurse	Diabetes Educator	385302-1	NEW YORK	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: 4/28/2024

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