Healthcare Provider Details

I. General information

NPI: 1538444377
Provider Name (Legal Business Name): ANN KAREN MULCAHY BSN, MN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 04/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E OLIVE STREET SOUND MENTAL HEALTH
SEATTLE WA
98122
US

IV. Provider business mailing address

1600 E OLIVE STREET SOUND MENTAL HEALTH
SEATTLE WA
98122
US

V. Phone/Fax

Practice location:
  • Phone: 206-302-2217
  • Fax: 206-302-2210
Mailing address:
  • Phone: 206-302-2217
  • Fax: 206-302-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN00124314
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60250716
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: