Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MARYLYN ANN MUDRICK
Active
Individual
MARYLYN ANN MUDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD029229E
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD029229E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500441
—
PA
01
—
0554265001
KEYSTONE BA ST
—
01
—
5023294
AETNA
—
Enumeration date
04/07/2006
Last updated
12/31/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers