Kristin E Mullally, NP Valid NPI
Individual provider · Family Nurse Practitioner · East Syracuse, NY
- NPI
- 1508014028
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- F335609 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-09-09
- Last updated
- 2011-05-13
Practice location
4939 Brittonfield Pkwy, Suite 101
East Syracuse, NY 13057-9208
(315) 463-1600