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NPI Code Detail

MEDICARE: ANN CHRISTINE MULKEY ARNP

MEDICARE: ANN CHRISTINE MULKEY ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP30004090WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1112184OTHERWALABOR & INDUSTRIES
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245212497
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN CHRISTINE MULKEY ARNP
Provider Business Mailing Address
First Line : 161 WASHINGTON ST FL 14
Second Line : EIGHT TOWER BRIDGE SUITE 1400
City : CONSHOHOCKEN
State : PA
Zip : 19428-2083
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1351 W PRINCE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-3114
Country : US
Telephone Number : 520-207-3035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 11/23/2007

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Directions to “ ANN CHRISTINE MULKEY ARNP” Practice Location

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