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Individual
NANCY A. MULLINS
Active
Individual
NANCY A. MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001866
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204584
OH MEDICAID - UNISON
—
01
—
000000217253
ANTHEM BCBS
—
05
—
0156117000
—
WV
01
—
2221125
MOLINA MEDICAID
OH
01
—
310917085311
MOUNTAIN STATE BCBS
—
01
—
650019673
RR MEDICARE
—
Enumeration date
07/21/2006
Last updated
03/09/2011
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