THOMAS PAUL MCNULTY CRNP NPI 1730103508

NPI Information

NPI: 1730103508
Provider Name: THOMAS PAUL MCNULTY, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WOUND HEALING SOLUTIONS MDVAWV LLC

PECOS Registration: Yes

Address:
1020 SAMSON STREET
SUITE 239
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6844
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Thomas Paul Mcnulty, CRNP is a family nurse practitioner in Philadelphia, PA with 27 years of experience. Thomas Paul Mcnulty, CRNP NPI is 1730103508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1020 SAMSON STREET
SUITE 239
PHILADELPHIA, PA
ZIP 19107-004
Phone: (215) 955-6844
Fax: (215) 955-2526

The NPI 1730103508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 3/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN310329L	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	VP004696B	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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