Individual provider · Type 1 NPI
Mary Mullen-Walsh, CRNP
Family Nurse Practitioner · Scranton, PA
NPI number
1104811140
Active
Practice location
5 Morgan Hwy, Suite 4
Scranton, PA 18508-2641
Fax (570) 969-9280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | VP005831B (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104811140
Mary Mullen-Walsh, CRNP's National Provider Identifier is 1104811140, issued on Sep 15, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Scranton, PA. The record was last updated on Jan 24, 2020.