Provider Demographics
NPI:1598432304
Name:MULHOLLAN, MEGAN BRIANNA (RN)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:BRIANNA
Last Name:MULHOLLAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 FITCHIE PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6521
Mailing Address - Country:US
Mailing Address - Phone:814-591-3812
Mailing Address - Fax:
Practice Address - Street 1:1021 FITCHIE PL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6521
Practice Address - Country:US
Practice Address - Phone:814-591-3812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN723530163W00000X
PARN720530163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse