Mary Leadith Mcnulty
Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Community Health
1051 N Canton Center Rd
Canton
, Michigan 48187-5097
Mary Leadith Mcnulty
Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Community Health
1051 N Canton Center Rd
Canton
, Michigan 48187-5097
(734) 647-5299
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Community Health
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mary Leadith Mcnulty
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 647-5299
Second Address
- Mary Leadith Mcnulty
- 1051 N Canton Center Rd
- Canton, MI
- Zip : 48187-5097
- Phone : (734) 844-5400
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What type of doctor is Mary Leadith Mcnulty
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Is Mary Leadith Mcnulty a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704196438 | MI |
| N | 363LC1500X | Nurse Practitioner - Community Health | 4704196438 | MI |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 4704196438 | MI |
National Provider Identifier
| NPI | 1730211194 |
|---|---|
| Provider Name | Mary Leadith Mcnulty |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Canton, MI 48187-5097 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/03/2007 |
| Last Update Date | 13/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4698876 | (05) | MI |
| Q38731 | (02) | MI |
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.