Individual
MARY KATHERINE MULLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2325 CRESTMOOR RD, NASHVILLE, TN 37215-2027
(615) 324-3461
(615) 297-4659
Mailing address
2325 CRESTMOOR RD, NASHVILLE, TN 37215-2027
(615) 324-3461
(615) 297-4659
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000005615
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341764
—
TN
01
—
5615
APN LICENSE
TN
Enumeration date
02/26/2007
Last updated
10/03/2013
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