# MS. TERESA LYNN MULLINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912108374
- **Gender:** F
- **Credential:** CSA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZS0410X | Surgical Technologist | SA124 | KY | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000392299 | ANTHEM | KY |