Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Ani Mukalian, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1114313004

Mrs. Nicole Ani Mukalian, AGPCNP-BC is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2014, 12 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2015
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Practice location Address checks out

925 Chestnut St Ste 320A
Philadelphia, PA 19107-4216
Phone: (215) 955-8874
Fax: (215) 955-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP014722 (PA)

Record details

NPI number1114313004
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESNovember 1, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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