IndividualActive
Daniel Mulligan, PA-C
NPI 1467927624 · Medical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1467927624
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2018-0073 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2211 Lomas Blvd Ne
Albuquerque, NM 87106-4375
Phone: (505) 272-5551
Fax: (505) 272-6845
Approximate (ZIP-level) locationGet directions
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2018-10-03
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.