Individual
KATELYN ROSE MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
110 LAFAYETTE ST, NEW YORK, NY 10013-4116
(212) 369-6757
Mailing address
3229 EAGLE PASS, LOUISVILLE, KY 40213-1274
(270) 316-5655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
58001
KY
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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