Individual
EDNA ROTHMAN MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
5200 N CROATAN HWY, KITTY HAWK, NC 27949-3990
(252) 261-4187
(833) 989-2346
Mailing address
PO BOX 2287, KITTY HAWK, NC 27949-2287
(252) 261-4187
(833) 989-2346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5017152
NC
Other
Enumeration date
07/27/2020
Last updated
03/22/2024
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