Kirtiben Mulji

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

57721 Issued in NM

Practice address

2410 N Fowler St
Hobbs, NM 88240-2312

Phone

(575) 392-2040

NPI assigned

Jul 20, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Briarwood Clinic, LLC

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1881069995

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1316590110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 GREY MOSS CT",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N FOWLER ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402312",
            "telephone_number": "575-392-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULJI",
        "first_name": "KIRTIBEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-20",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "57721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Moriel, OT
• Brock Wade Morris, CFNP
• Ambrea Mosley
• Mitzi Joy Mossman, RN
• Mohamed Samy Moustafa, DMD
• Larry E Munoz
• Mark Munro, LPCC
• Julia N Murillo
• Katie Murillo, BT
• Monzerat Murillo

• Family Nurse Practitioner in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.