Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Marie Mulholland, NP

Individual provider Family Nurse Practitioner · NPI 1700640885

Kelly Marie Mulholland, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Freedom Health Interventional Centers LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6036 N 19th Ave Ste 204
Phoenix, AZ 85015-2104
Phone: (480) 616-0356
Fax: (480) 616-0603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 301586 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 301586 (AZ)

Record details

NPI number1700640885
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Freedom Health Interventional Centers Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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