Individual
MS. ALIA A. MULCAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1721
TN
363A00000X
Physician Assistant
Primary
AMD-710
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215347
LIWA
WA
01
—
2147SA
BSWA
WA
05
—
8466773
—
WA
Enumeration date
05/16/2006
Last updated
05/26/2021
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