Individual
SUSAN THERESA MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13644 N SANDARIO RD, MARANA, AZ 85653-8579
(520) 682-4560
(520) 682-4570
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4560
(520) 682-4570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN116687
AZ
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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