NPI 1023391992

Martina G Mulligan, ACNSBC

Practitioner Nurse Practitioner Royal Oak, MI

Practice location

Address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
Phone: (248) 898-5000
Mailing address: 26901 Beaumont Blvd STE 3d, Southfield, MI 48033-3849

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 4704154598 (MI)

Other Nurse Practitioner providers in Michigan →

Registry record

NPI: 1023391992
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2011
Record last updated: 29 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.