Individual
STACEY SATCHWELL MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
3590 LUCILLE DR, CINCINNATI, OH 45213-2674
(513) 475-8588
(513) 475-8598
Mailing address
215 E 11TH ST, NEWPORT, KY 41071-2203
(859) 655-6100
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN.CNM.0019493
OH
367A00000X
Advanced Practice Midwife
3005980
KY
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.0019493
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100140870
—
KY
Enumeration date
01/14/2009
Last updated
12/27/2021
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