Individual provider · Type 1 NPI
Kristin E. Mullally, NP
Family Nurse Practitioner · East Syracuse, NY
NPI number
1508014028
Active
Practice location
4939 Brittonfield Pkwy, Suite 101
East Syracuse, NY 13057-9208
Fax (315) 634-6789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F335609 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508014028
Kristin E. Mullally, NP's National Provider Identifier is 1508014028, issued on Sep 9, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Syracuse, NY. The record was last updated on May 13, 2011.