Individual
MRS. ELIZABETH RAE MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 W OAK ST STE 500, ZIONSVILLE, IN 46077-1852
(317) 798-3708
(317) 691-8101
Mailing address
1115 RONALD REAGAN PKWY STE 347, AVON, IN 46123-6914
(317) 217-2100
(317) 217-2110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001214A
IN
363AM0700X
Medical Physician Assistant
Primary
10001214A
IN
Other
Enumeration date
09/13/2010
Last updated
07/20/2015
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