Provider Demographics
NPI:1932691037
Name:MULHERN, LUCY ANN (RN, BSN, WCC)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:ANN
Last Name:MULHERN
Suffix:
Gender:F
Credentials:RN, BSN, WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MATTEI LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2604
Mailing Address - Country:US
Mailing Address - Phone:302-563-8276
Mailing Address - Fax:
Practice Address - Street 1:14 MATTEI LN
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2604
Practice Address - Country:US
Practice Address - Phone:302-563-8276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0036351163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEL1-0036351OtherLICENSE