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

Miranda Mulholland

Individual provider Acute Care Nurse Practitioner · NPI 1164875175

Miranda Mulholland is a Nurse Practitioner in LA Jolla, California. Qualified in 2009, 17 years ago. Practices with Scripps Health, a 1,446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

9850 Genesee Ave Ste 560
LA Jolla, CA 92037-1224
Phone: (858) 824-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95004526 (CA)

Record details

NPI number1164875175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016
Mailing address10790 Rancho Bernardo Rd, Mail Drop 4s-205, San Diego, CA 92127-5705

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in LA Jolla