Individual
AMANDA MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3911 AVENUE B STE 1100, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
(308) 630-1349
Mailing address
3911 AVENUE B, SCOTTSBLUFF, NE 69361-4617
(308) 630-2100
(308) 630-1349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0063136
CO
Other
Enumeration date
04/20/2018
Last updated
10/03/2025
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