Individual
DEBORAH DAVIS MULLIGAN-TIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
2452 ROUTE 9, SUITE 205, MALTA, NY 12020
(518) 245-3837
(518) 248-3840
Mailing address
646 N SHORE RD PECK LK, GLOVERSVILLE, NY 12078-7017
(518) 339-7930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F333669-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401249-1
NY
Other
Enumeration date
12/06/2006
Last updated
08/03/2023
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