Individual
MRS. NANCY B MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
262 E UNIVERSITY DR, MESA, AZ 85201-5932
(602) 808-2800
(602) 808-2799
Mailing address
202 E EARLL DR, SUITE 200, PHOENIX, AZ 85012-2634
(602) 808-2800
(602) 808-2799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1485
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836976
—
AZ
01
—
Z182571
MEDICARE PTAN
AZ
Enumeration date
11/14/2006
Last updated
09/07/2016
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