Individual
MARK MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
13401 GOVERNOR G C PEERY HWY, POUNDING MILL, VA 24637-4010
(276) 385-1183
(276) 345-9448
Mailing address
PO BOX 489, POUNDING MILL, VA 24637-0489
(276) 385-1183
(276) 345-9448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173341
VA
363LF0000X
Family Nurse Practitioner
APRN82732-NP-C
WV
Other
Enumeration date
10/22/2014
Last updated
04/01/2021
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