Individual
DEIRDRE ANN MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26 INDIAN ROCK, SUFFERN, NY 10901-4907
(845) 368-0100
Mailing address
57 OLD ROUTE 304, NEW CITY, NY 10956-5415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22687959
NY
363LF0000X
Family Nurse Practitioner
Primary
345090
NY
Other
Enumeration date
09/15/2017
Last updated
11/06/2020
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