Individual
NICOLE L MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2123 AUBURN AVE, STE 401, CINCINNATI, OH 45219-2906
(513) 241-5489
(513) 241-5490
Mailing address
2123 AUBURN AVE, STE 401, CINCINNATI, OH 45219-2906
(513) 241-5489
(513) 241-5490
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA1026NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2957895
—
OH
05
—
7100062390
—
KY
Enumeration date
09/17/2008
Last updated
10/27/2020
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