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

Magen Elizabeth Mullaney, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1063759629

Magen Elizabeth Mullaney, NURSEPRACTITIONER is a Nurse Practitioner in Poughkeepsie, New York. Qualified in 2012, 14 years ago. Practices with Axis Medical PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013

Practice location Address checks out

15 Fulton Ave
Poughkeepsie, NY 12603-2315
Phone: (845) 473-8996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F337556-1 (NY)

Record details

NPI number1063759629
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 15, 2013
Last updated in NPPESOctober 6, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Axis Medical Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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