Provider Demographics
NPI:1043024094
Name:MULHERN, KELSEY ANNE (RN)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:ANNE
Last Name:MULHERN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W 93RD ST APT 5I
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7618
Mailing Address - Country:US
Mailing Address - Phone:908-285-5074
Mailing Address - Fax:
Practice Address - Street 1:50 W 93RD ST APT 5I
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7618
Practice Address - Country:US
Practice Address - Phone:908-285-5074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY691692-1163W00000X
NJ26NR22742100163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse