Individual
STACY SPIVEY MULLINIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 NORTH GREEN ST, BALTIMORE, MD 21201
(800) 698-2411
Mailing address
4062 RUSTICO RD, MIDDLE RIVER, MD 21220-2342
(470) 331-5717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R199869
MD
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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