Individual
MS. ALYSSA SUZANNE MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1603 E 9 MILE RD, FERNDALE, MI 48220-2065
(248) 514-4955
Mailing address
21625 ERBEN ST, SAINT CLAIR SHORES, MI 48081-2846
(586) 360-3476
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704232789
MI
367A00000X
Advanced Practice Midwife
4704232789
MI
Other
Enumeration date
10/05/2007
Last updated
10/14/2025
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