Kimberly Bradshaw Mcnulty
Nurse Practitioner - Critical Care Medicine
910 Gladway Rd
Middle River
, Maryland 21220-1900
Kimberly Bradshaw Mcnulty
Nurse Practitioner - Critical Care Medicine
910 Gladway Rd
Middle River
, Maryland 21220-1900
(410) 790-6619
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Kimberly Bradshaw Mcnulty
- 910 Gladway Rd
- Middle River, MD
- Zip : 21220-1900
- Phone : (410) 790-6619
Second Address
- Kimberly Bradshaw Mcnulty
- 910 Gladway Rd
- Middle River, MD
- Zip : 21220-1900
- Phone : (410) 790-6619
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R156860 | MD |
National Provider Identifier
| NPI | 1285138651 |
|---|---|
| Provider Name | Kimberly Bradshaw Mcnulty |
| First Address | Middle River, MD 21220-1900 |
| Second Address | Middle River, MD 21220-1900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2018 |
| Last Update Date | 21/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.