MEDICARE: MRS. CHRISTIANE A MULHALL RN

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
1	163W00000X	Registered Nurse	1122661	KY

General Provider Information

NPI Number	:	1528991916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTIANE A MULHALL RN

Provider Business Mailing Address
First Line	:	10010 HONEY LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40229-2588
Country	:	US
Telephone Number	:	502-523-7880
Fax Number	:

Provider Business Practice Location Address
First Line	:	10010 HONEY LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40229-2588
Country	:	US
Telephone Number	:	502-523-7880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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