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Individual

LATOYA MULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC

Contact information

Practice address
780 LYNNHAVEN PKWY STE 340, VIRGINIA BEACH, VA 23452-7361
(757) 694-4723
Mailing address
PO BOX 12731, NORFOLK, VA 23541-0731

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024174332
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024174332
VA

Other

Enumeration date
02/20/2017
Last updated
01/14/2022
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