Individual
MRS. TINA MARIE MULCAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S QUEEN ST, MARTINSBURG, WV 25401
(304) 267-3500
Mailing address
112 DEEP WOODS TRAIL, SHEPHERDSTOWN, WV 25443
(304) 876-9262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47011
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010335
—
WV
Enumeration date
01/03/2008
Last updated
01/03/2008
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