Individual
MR. BRAD A MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 583-5000
Mailing address
13380 TEMPLIN AVE, FISHERS, IN 46037-6409
(317) 677-6284
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28188623A
IN
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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