Individual
MRS. ANDREA DARLA MULLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
236 COUNTY ROAD 378, TRINITY, AL 35673
(256) 303-3028
Mailing address
236 COUNTY ROAD 378, TRINITY, AL 35673-5347
(256) 303-3028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-070097
AL
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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