Provider Demographics
NPI:1013736230
Name:MULLANEY, AMBER JANI (BA, NBC-HWC)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:JANI
Last Name:MULLANEY
Suffix:
Gender:F
Credentials:BA, NBC-HWC
Other - Prefix:MRS
Other - First Name:AMBER
Other - Middle Name:MULLANEY
Other - Last Name:COGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, NBC-HWC
Mailing Address - Street 1:1620 CUMMINS DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95358-6400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1620 CUMMINS DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95358-6400
Practice Address - Country:US
Practice Address - Phone:209-622-1420
Practice Address - Fax:209-491-0627
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion