Provider Demographics
NPI:1811461189
Name:MULKEY, DANNY GLEN (FNP-C)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:GLEN
Last Name:MULKEY
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 S ALFORD ST
Mailing Address - Street 2:
Mailing Address - City:CRANE
Mailing Address - State:TX
Mailing Address - Zip Code:79731-3899
Mailing Address - Country:US
Mailing Address - Phone:432-558-3555
Mailing Address - Fax:432-558-1159
Practice Address - Street 1:1310 S ALFORD ST
Practice Address - Street 2:
Practice Address - City:CRANE
Practice Address - State:TX
Practice Address - Zip Code:79731-3899
Practice Address - Country:US
Practice Address - Phone:432-558-3555
Practice Address - Fax:432-558-1159
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-19
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily