{
"Npi": {
"NPI": "1265376669",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MULHOLLAND",
"FirstName": "GWENDOLYN",
"MiddleName": "D.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN, AGCN-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HUTCHINSON",
"OtherFirstName": "GWENDOLYN",
"OtherMiddleName": "D.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "110 IRVING ST NW",
"SecondLineMailingAddress": "EAST BUILDING RM 8118",
"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "DC",
"MailingAddressPostalCode": "20010",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-877-2089",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "110 IRVING ST NW",
"SecondLinePracticeLocationAddress": "EAST BUILDING RM 8118",
"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
"PracticeLocationAddressPostalCode": "20010",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-877-2089",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/16/2026",
"LastUpdateDate": "04/16/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "364SM0705X",
"TaxonomyName": "Medical-Surgical Clinical Nurse Specialist",
"LicenseNumber": "CNS1039249",
"LicenseNumberStateCode": "DC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}