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Kelly Marie Mulholland, NP
Family Nurse Practitioner in Surprise, Arizona
NPI 1700640885

Kelly Marie Mulholland is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Kelly Marie Mulholland practices in Surprise, AZ and has the professional credentials of NP. The NPI Number for Kelly Marie Mulholland is 1700640885 and holds a License No. 301586 (Arizona).

The current practice location address for Kelly Marie Mulholland is 16575 W Waddell Rd, Surprise, AZ and can be reached out via phone at 623-300-9110.

Location: 16575 W Waddell Rd, Surprise, AZ, 85086-4326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700640885
Provider Name
Kelly Marie Mulholland
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
16575 W Waddell Rd, Surprise, AZ, 85086-4326
Phone Number
623-300-9110
Fax Number
Provider Enumeration Date
02/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16575 W Waddell Rd
City
Surprise
State
Arizona
Zip
85388-9627
Phone Number
623-300-9110
Fax Number
person
Provider Business Mailing Address Details
Address
16575 W Waddell Rd
City
Surprise
State
Arizona
Zip
85388-9627
Phone Number
623-300-9110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
301586 (Arizona)
Definition
Definition to come...
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