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Individual

ALLYSON MUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1402 GRAND AVE, WASHINGTON, IN 47501-2122
(812) 257-8636
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28185076A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201193390
IN
Enumeration date
09/09/2013
Last updated
01/02/2021
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