Mullen-Walsh, Mary

Mullen-Walsh, Mary is an individual health care provider with primary practice located at 5 Morgan Hwy Suite 4, Scranton PA 18508-2641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mullen-Walsh, Mary can be contacted via phone (570) 344-3788.

Contact Information

Primary practice address
5 Morgan Hwy Suite 4 Scranton PA 18508-2641
Phone: (570) 344-3788
Fax: (570) 969-9280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP005831B Pennsylvania

Profile Details

NPI number 1104811140
LBN Legal business name Mullen-Walsh, Mary
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jan 24th, 2020 - about 4 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 1104811140 NPPES
Pennsylvania MEDICAID 103062761-0001
Pennsylvania Other P00293834
Pennsylvania Other 027924
Pennsylvania Other 50076570

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