Individual
CARRIE LYNN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4120 BALDWIN RD, RUSHVILLE, NY 14544-9738
(585) 554-6492
Mailing address
4120 BALDWIN RD, RUSHVILLE, NY 14544-9738
(585) 554-6492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
645678-1
NY
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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