Individual
KATELYN MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1501 PASADENA AVE S, SOUTH PASADENA, FL 33707-3717
(727) 381-1000
Mailing address
5236 38TH ST S, ST PETERSBURG, FL 33711-4828
(500) 846-8427
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
129776
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105747100
—
FL
Enumeration date
01/27/2020
Last updated
02/03/2025
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