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NPI Code Detail

MEDICARE: CORTNEY MULDOON FNP

MEDICARE:   CORTNEY  MULDOON  FNP
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 PractitionerCNP161119ME

General Provider Information

NPI Number : 1912455809
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORTNEY MULDOON FNP
Provider Business Mailing Address
First Line : 410 ROOSEVELT TRL
Second Line :
City : NAPLES
State : ME
Zip : 04055-5329
Country : US
Telephone Number : 207-693-6106
Fax Number : 207-693-4026
Provider Business Practice Location Address
First Line : 410 ROOSEVELT TRL
Second Line :
City : NAPLES
State : ME
Zip : 04055-5329
Country : US
Telephone Number : 207-693-6106
Fax Number : 207-693-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 09/20/2016

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Directions to “ CORTNEY MULDOON FNP” Practice Location

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