Individual
MRS. ELIZABETH MULLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16005 N 173RD AVE, SURPRISE, AZ 85388-0251
(406) 231-9735
Mailing address
16005 N 173RD AVE, SURPRISE, AZ 85388-0251
(406) 231-9735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220914
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/16/2021
Last updated
09/16/2021
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