Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | ARNP9168363 | FL |
NPI | 1083736342 |
---|---|
Provider Name | Dr. Denise Mcnulty |
First Address | Naples, FL 34102-5623 |
Second Address | Naples, FL 34102-5623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2007 |
Last Update Date | 30/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP9168363 | STATE LICENSE (01) | FL |