Individual
MS. MAUREEN ANN MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., LMT, DIPL OM
Contact information
Practice address
148 EAST STATE STREET, SUITE A, BURLINGTON, WI 53105
(773) 677-8458
(262) 995-1422
Mailing address
148 EAST STATE STREET, SUITE A, BURLINGTON, WI 53105
(773) 677-8458
(262) 995-1422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
660-055
WI
225700000X
Massage Therapist
5060-146
WI
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
817175493
UNITEDHEALTHCARE INSURANCE COMPANY
WI
Enumeration date
04/18/2013
Last updated
07/28/2020
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