Individual
MRS. DEIRDRE MARY MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
95 GRASSLANDS RD, VALHALLA, NY 10595-1646
(914) 493-7693
Mailing address
1 PINE ST, ORANGEBURG, NY 10962-1327
(845) 398-3171
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403464
NY
367500000X
Certified Registered Nurse Anesthetist
PENDING
NY
Other
Enumeration date
09/13/2006
Last updated
05/09/2022
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