Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730211194 Individual Practitioner Female Practitioner

Mary Leadith Mcnulty , NP

Nurse Practitioner • Canton, MI

Professional Overview & Biography Verified Profile Summary

Mary Mcnulty, NP is a registered healthcare professional specializing in Nurse Practitioner in Canton, MI. Practice services are available at 1051 N CANTON CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1051 N Canton Center Rd

Canton, MI 481875097

Telephone 7348445400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Canton, MI (3626 Statewide)

Telehealth Adoption Rate
21.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704196438

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Community Health

NUCC Taxonomy Code: 363LC1500X

State License MI 4704196438

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License MI 4704196438

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4698876 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Genevieve Allen , MD

Student in an Organized Health Care Education/Training Program

NPI 1033779400

Doctor of Medicine (M.D.)

Dr. Alissa Anastasio , DO

Student in an Organized Health Care Education/Training Program

NPI 1063104834

Doctor of Osteopathic Medicine (D.O.)

Dr. Alice Chi , MD

Obstetrics & Gynecology

NPI 1063704526

Doctor of Medicine (M.D.)

Dr. Seamus O'broin , MD

Obstetrics & Gynecology

NPI 1114140605

Doctor of Medicine (M.D.)

Dr. Mark Hakim , MD

Internal Medicine

NPI 1144437526

Doctor of Medicine (M.D.)

Dr. Hartlee Lidsky , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1174312748

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address May 13, 2019

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2019

Nurse Practitioner (License #4704196438 in MI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1051 N CANTON CENTER RD, CANTON, MI 481875097 (Tel: 7348445400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY MCNULTY, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #4704196438 in MI)

🟢
Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730211194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: May 13, 2019
Sole Proprietor: No

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.