# STACEY SATCHWELL MULLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497992333
- **Gender:** F
- **Credential:** ARNP, CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | APRN.CNM.0019493 | OH | — |
| 367A00000X | Advanced Practice Midwife | 3005980 | KY | — |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.0019493 | OH | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 12/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100140870 | — | KY |