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Individual
TAMMY MULLINS
Active
Individual
TAMMY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4171P
KY
363LF0000X
Family Nurse Practitioner
71001694A
IN
363LW0102X
Women's Health Nurse Practitioner
4171P
KY
363LW0102X
Women's Health Nurse Practitioner
71001694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000633086
ANTHEM
KY
Enumeration date
04/11/2006
Last updated
03/22/2021
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