Individual
ERICA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019005054
MO
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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