Individual
DARA MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4070
Mailing address
1900 GRAVIER ST, #324, NEW ORLEANS, LA 70112-2262
(504) 568-4203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07872
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05729217
—
MS
05
—
2382730
—
LA
Enumeration date
10/09/2014
Last updated
12/29/2016
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