Individual
NICOLE MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 COLUMBIA POINT DR, RICHLAND, WA 99352-4387
(509) 942-3190
(509) 943-6197
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
AP30007352
WA
363L00000X
Nurse Practitioner
AP30007352
WA
363LF0000X
Family Nurse Practitioner
201250078NP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP30007352
WA
Other
Enumeration date
02/15/2007
Last updated
04/11/2022
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