Provider Demographics
NPI:1932414356
Name:MULVIHILL, CAROLINE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ANN
Last Name:MULVIHILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CAROLINE
Other - Middle Name:ANN
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:30 LINDY DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-1902
Mailing Address - Country:US
Mailing Address - Phone:845-228-6411
Mailing Address - Fax:
Practice Address - Street 1:111 CLOCK TOWER COMMONS
Practice Address - Street 2:ROUTE 22
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4055
Practice Address - Country:US
Practice Address - Phone:845-279-5187
Practice Address - Fax:845-279-5168
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY484898163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse