Individual
JUDITH A. MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, CDE
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5831
Mailing address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5831
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
APRN-393
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000248161
HMSA BILLING NUMBER
HI
05
—
55681301
—
HI
Enumeration date
11/07/2006
Last updated
10/09/2007
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