Individual provider · Type 1 NPI
Miranda Mulholland
Acute Care Nurse Practitioner · La Jolla, CA
NPI number
1164875175
Active
Practice location
9850 Genesee Ave, Suite 560
La Jolla, CA 92037-1224
Mailing address
10790 Rancho Bernardo Rd, Mail Drop 4S-205
San Diego, CA 92127-5705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95004526 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1164875175
Miranda Mulholland's National Provider Identifier is 1164875175, issued on Jul 14, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in La Jolla, CA. The record was last updated on Jul 14, 2016.