Individual provider · Type 1 NPI

Mary Leadith McNulty, N.P.

Nurse Practitioner · Canton, MI

NPI number 1730211194 Active

Practice location

1051 N Canton Center Rd
Canton, MI 48187-5097

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Specialties and licenses

TaxonomyCodeLicense
Community Health Nurse Practitioner 363LC1500X4704196438 (MI)
Primary Care Nurse Practitioner 363LP2300X4704196438 (MI)
Nurse Practitioner Primary 363L00000X4704196438 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730211194

Mary Leadith McNulty, N.P.'s National Provider Identifier is 1730211194, issued on Mar 12, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, MI. The record was last updated on May 13, 2019.