Individual
NICHOLAS BRYCE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
401 E CHESTNUT ST UNIT 610, LOUISVILLE, KY 40202-5711
(502) 588-4450
(502) 588-9539
Mailing address
401 E CHESTNUT ST UNIT 610, LOUISVILLE, KY 40202-5711
(502) 588-4450
(502) 588-9539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6633P
KY
363LF0000X
Family Nurse Practitioner
Primary
3006633
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100254260
—
KY
Enumeration date
10/07/2010
Last updated
05/25/2022
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