Provider Demographics
NPI:1841947082
Name:MULLIGAN, ANNE
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:MULLIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 MAKAWAO AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-9468
Mailing Address - Country:US
Mailing Address - Phone:808-572-4500
Mailing Address - Fax:808-442-1050
Practice Address - Street 1:1043 MAKAWAO AVE STE 201
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-9468
Practice Address - Country:US
Practice Address - Phone:808-572-4500
Practice Address - Fax:808-442-1050
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst