Provider Demographics
NPI:1457574246
Name:MULVANEY, ERLINDA M (NP-C)
Entity type:Individual
Prefix:MS
First Name:ERLINDA
Middle Name:M
Last Name:MULVANEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:351 HEATHERWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-1747
Mailing Address - Country:US
Mailing Address - Phone:559-782-2280
Mailing Address - Fax:559-784-5630
Practice Address - Street 1:26501 AVENUE 140
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-9109
Practice Address - Country:US
Practice Address - Phone:559-782-2280
Practice Address - Fax:559-784-5630
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily