Search › Wisconsin › 171100000X
Maureen Mcnulty, L.AC., LMT, DIPL OM
NPI 1043654288 · on the registry since 2013 · sole proprietor
Practice
- Address
- 148 East State Street
Suite A
Burlington, WI 53105 - Phone
- (773) 677-8458
- Fax
- (262) 995-1422
- Organisation at this address
- Forefront Dermatology, S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 225700000X
225700000X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin