Individual
PATRICIA COLLEEN MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4130 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2875
(907) 729-5298
Mailing address
8019 COUNTRY WOODS DR, ANCHORAGE, AK 99502-4691
(907) 444-7275
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
12060
AK
Other
Enumeration date
03/29/2007
Last updated
05/13/2019
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