Individual
SUSAN M MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10701 NEW GEORGES CREEK RD SW, FROSTBURG, MD 21532-1457
(301) 689-3229
(301) 689-1129
Mailing address
1 LAKESIDE LOOP, RIDGELEY, WV 26753-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
55378
WV
363LA2200X
Adult Health Nurse Practitioner
Primary
R137999
MD
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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