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NPI Code Detail

MEDICARE: MONIQUE SOMMER MULVANY N.P

MEDICARE: MONIQUE SOMMER MULVANY N.P
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 Practitioner670959TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN670959OTHERTXTX NURSING BOARD
2AP114954OTHERTXTX NURSING BOARD

General Provider Information

NPI Number : 1710085063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE SOMMER MULVANY N.P
Provider Business Mailing Address
First Line : 5929 BALCONES DR STE 303
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4286
Country : US
Telephone Number : 512-420-9900
Fax Number :
Provider Business Practice Location Address
First Line : 5929 BALCONES DR STE 303
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4286
Country : US
Telephone Number : 512-420-9900
Fax Number : 512-420-9944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 05/03/2024

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Directions to “ MONIQUE SOMMER MULVANY N.P” Practice Location

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