Individual
LISA M MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
161 RIVERSIDE DR, SUITE 109, BINGHAMTON, NY 13905-4176
(607) 770-7074
(607) 770-3452
Mailing address
161 RIVERSIDE DR, SUITE 109, BINGHAMTON, NY 13905-4176
(607) 770-7074
(607) 770-3452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
331696
NY
Other
Enumeration date
10/03/2006
Last updated
11/25/2008
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