Individual
MRS. CATHERINE GLAUBER MULLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 PRATT STREET, 0311 TERRACE LEVEL, DURHAM, NC 27705-7969
(919) 668-8088
(919) 668-7026
Mailing address
PO BOX 17969, DURHAM, NC 27715-7969
(919) 668-8088
(919) 668-7026
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110001213
VA
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001213
STATE LICENSE
VA
Enumeration date
06/07/2006
Last updated
07/08/2007
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