Mcnulty, Mary Leadith

Mcnulty, Mary Leadith is an individual health care provider with primary practice located at 1051 N Canton Center Rd , Canton MI 48187-5097. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mcnulty, Mary Leadith can be contacted via phone (734) 844-5400.

Contact Information

Primary practice address
1051 N Canton Center Rd Canton MI 48187-5097
Phone: (734) 844-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 4704196438 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704196438 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704196438 Michigan

Profile Details

NPI number 1730211194
LBN Legal business name Mcnulty, Mary Leadith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated May 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730211194 NPPES
Michigan MEDICAID 4698876

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