Individual
KANI MICHELE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4235 S NEW HOPE RD STE A, GASTONIA, NC 28056-8453
(704) 825-4750
(704) 825-6985
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009391
NC
Other
Enumeration date
04/13/2017
Last updated
02/16/2022
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