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NPI Code Detail

MEDICARE: EMILY MULFORD

MEDICARE: EMILY MULFORD
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
1363L00000XNurse PractitionerR209454MD

General Provider Information

NPI Number : 1942798475
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MULFORD
Provider Business Mailing Address
First Line : 2002 MEDICAL PKWY STE 630
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3059
Country : US
Telephone Number : 410-224-2260
Fax Number :
Provider Business Practice Location Address
First Line : 2002 MEDICAL PKWY STE 630
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3059
Country : US
Telephone Number : 410-224-2260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 04/30/2018

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Directions to “ EMILY MULFORD ” Practice Location

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