Individual
AMANDA MARIE MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2316
Mailing address
6504 STATE ROUTE 546, BELLVILLE, OH 44813-9314
(419) 565-8399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.19060
OH
Other
Enumeration date
12/12/2019
Last updated
01/25/2022
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