Provider Demographics
NPI:1043886070
Name:MULVEY, EMMA (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:MULVEY
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7727 WINDING CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-2787
Mailing Address - Country:US
Mailing Address - Phone:262-313-7573
Mailing Address - Fax:
Practice Address - Street 1:7727 WINDING CYPRESS DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-2787
Practice Address - Country:US
Practice Address - Phone:262-313-7573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10360133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered