Provider Demographics
NPI:1912455809
Name:MULDOON, CORTNEY (FNP)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:
Last Name:MULDOON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 ROOSEVELT TRL
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:ME
Mailing Address - Zip Code:04055-5329
Mailing Address - Country:US
Mailing Address - Phone:207-693-6106
Mailing Address - Fax:207-693-4026
Practice Address - Street 1:410 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:ME
Practice Address - Zip Code:04055-5329
Practice Address - Country:US
Practice Address - Phone:207-693-6106
Practice Address - Fax:207-693-4026
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP161119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily