Individual
MS. ANITA CATHERINE MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP CNM
Contact information
Practice address
8340 BLACKNEY RD, SEBASTOPOL, CA 95472-4607
(707) 824-9533
Mailing address
8340 BLACKNEY RD, SEBASTOPOL, CA 95472-4607
(707) 824-9533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20593
CA
367A00000X
Advanced Practice Midwife
NMW853
CA
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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