Individual
JUSTIN M MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(716) 603-8140
Mailing address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(716) 603-8140
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
667991
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11007281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119959900
—
FL
Enumeration date
04/26/2018
Last updated
04/08/2025
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