Individual
ELIZABETH MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 S MCINTIRE DR, SUITE 103, BLOOMINGTON, IN 47403-4221
(812) 353-2870
(812) 353-2881
Mailing address
2920 S MCINTIRE DR, SUITE 103, BLOOMINGTON, IN 47403-4221
(812) 353-2870
(812) 353-2881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006699A
IN
Other
Enumeration date
11/15/2016
Last updated
11/17/2016
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