Doctor Name: | CHRISTINE MULLIGAN |
NPI Number: | 1518989375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHCNS-BC,CRNP |
License Number: | SP010559 |
Business Practice Address: | 202 N Fairfield Rd Devon, PA - 193331422 |
Business Phone Number: | 6107105132 |
Business Fax Number: | 4844548700 |
Mailing Address: | 2000 Old West Chester Pike, HAVERTOWN |
State: | PA |
Postal Code: | 190832712 |
Phone Number: | 6107105132 |
Fax Number: | 6104493969 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 03/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | SP010559 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |