Individual
HEATHER DAWN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPBC
Contact information
Practice address
2300 DUMBARTON RD, RICHMOND, VA 23228
(804) 955-4714
Mailing address
2300 DUMBARTON RD, RICHMOND, VA 23228
(804) 955-4714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0017139598
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017139598
VIRGINIA LICENSE WITH AUTHORIZATION TO PRESCRIBE
VA
Enumeration date
11/30/2009
Last updated
07/11/2013
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