Individual
MRS. HEATHER ANN MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
90 PRESIDENTIAL PLAZA, 3RD FL, SYRACUSE, NY 13202
(315) 464-4357
(315) 464-2030
Mailing address
90 PRESIDENTIAL PLAZA, 3RD FL, SYRACUSE, NY 13202
(315) 464-4357
(315) 464-2030
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03583951
—
NY
Enumeration date
04/10/2013
Last updated
02/12/2019
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