SUSAN ANN MCNULTY
NPI 1811491095
Nurse Practitioner - Family in Prescott, AZ
Active since March 21, 2018
About Susan Ann Mcnulty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ANN MCNULTY (NPI 1811491095) is an individual family provider in Prescott, Arizona, licensed in Arizona (AP11674) and active in the NPI registry since March 2018.
NPPES Registry Identity
NPI1811491095
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN ANN MCNULTY
Location Address500 AZ-89Prescott, AZ 86313
Mailing Address9289 E Sutton DrScottsdale, AZ 85260-4343 · (602) 295-9349
Phone(928) 445-4860
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1811491095 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP11674
500 AZ-89, Prescott, AZ 86313
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811491095, enumerated as an "individual" on March 21, 2018.
The provider is located at 500 AZ-89 PRESCOTT, AZ 86313 and the phone number is (928) 445-4860.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
