Individual
MARCIA S MULCAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
919 12TH PL, PRESCOTT, AZ 86305-1433
(602) 851-3030
(877) 357-9474
Mailing address
919 12TH PL, PRESCOTT, AZ 86305-1433
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP8044
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279003
—
AZ
Enumeration date
06/24/2006
Last updated
06/14/2024
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