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Individual

MRS. CLARA ELAINE MCNULTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
757 WESTWOOD PLZ FL 5, LOS ANGELES, CA 90095-2804
(310) 267-7565
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5200

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
95025591
CA
363LN0000X
Neonatal Nurse Practitioner
95025591
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95025591
CA

Other

Enumeration date
07/03/2023
Last updated
02/06/2024
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