Provider Demographics
NPI:1568617140
Name:MULCARE, NANCY CONNOLLY (ND)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CONNOLLY
Last Name:MULCARE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:PATRICE
Other - Last Name:CONNOLLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:15347 70TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4605
Mailing Address - Country:US
Mailing Address - Phone:425-273-5737
Mailing Address - Fax:
Practice Address - Street 1:7337 35TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5918
Practice Address - Country:US
Practice Address - Phone:206-523-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001458175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath