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Contact Information

MARY L MCNULTY, NP
1051 N CANTON CENTER RD
CANTON, MI48187-5097
 Phone: 734-844-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY L MCNULTY · (Female)

NPI Number 1730211194
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/12/2007
Last updated 05/13/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704196438
  • MI Medicaid 4698876
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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