| Mrs Kimberly Ann Mulvey, APN | |
| 
					2100 Manchester Rd Ste 1605, Wheaton, IL 60187-4579  | |
| (630) 866-6010 | |
| (630) 866-6067 | 
| Full Name | Mrs Kimberly Ann Mulvey | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 2100 Manchester Rd Ste 1605, Wheaton, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053657270 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277001219 (Illinois) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277001219 (Illinois) | Primary | 
| Entity Name | Dispatchhealth-arizona | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588237903 PECOS PAC ID: 7810268422 Enrollment ID: O20210917002750  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kimberly Ann Mulvey, APN 40 S Main St Ste 1300, Memphis, TN 38103-5513 Ph: (866) 949-0108  | Mrs Kimberly Ann Mulvey, APN 2100 Manchester Rd Ste 1605, Wheaton, IL 60187-4579 Ph: (630) 866-6010  | 
Ms. Tanya Stann, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 102, Wheaton, IL 60189 Phone: 630-682-0500 Fax: 630-682-1078  | |
Kristina Indira Midha, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26w171 Roosevelt Rd, Wheaton, IL 60187 Phone: 630-909-7000 Fax: 630-909-7002  | |
Ancy Zacharia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 N Main St, Second Floor, Wheaton, IL 60187 Phone: 630-614-4960 Fax: 630-682-3727  | |
Jin-a Kim, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 Manchester Rd, Wheaton, IL 60187 Phone: 630-668-2500  | |
Mrs. Heidi M Mathew, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 N Main St, Wheaton, IL 60187 Phone: 630-614-4960 Fax: 630-682-3727  | |
Catherine M Moroni, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 E Loop Rd, Suite 301, Wheaton, IL 60189 Phone: 630-690-7300 Fax: 630-690-7335  |