Individual
NICOLE L. MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 NORTHERN PACIFIC AVE N, FARGO, ND 58102-4835
(701) 271-3344
Mailing address
1450 10TH ST S, FARGO, ND 58103-4121
(701) 318-2135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R30211
ND
Other
Enumeration date
07/10/2017
Last updated
03/11/2021
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