Individual
MRS. MENDY L MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-PA
Contact information
Practice address
202 N WEST ST, ODON, IN 47562-1032
(812) 636-7300
(812) 257-7073
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-2760
(812) 254-8636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001157A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200153250A
—
IN
Enumeration date
02/10/2010
Last updated
06/23/2023
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