Individual
MR. PETER NATHAN MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6733
(860) 667-6842
Mailing address
114 LEVESQUE AVE, WEST HARTFORD, CT 06110-1180
(860) 232-0592
(860) 232-0592
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
E-38767
CT
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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