Healthcare Provider Details

I. General information

NPI: 1972434652
Provider Name (Legal Business Name): PATRICK MULHERIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 OSLER DR STE 502
TOWSON MD
21204-7740
US

IV. Provider business mailing address

3917 MILLER RD
KINGSVILLE MD
21087-1417
US

V. Phone/Fax

Practice location:
  • Phone: 410-296-4210
  • Fax:
Mailing address:
  • Phone: 443-668-4975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR217364
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: