Individual
MR. JOSEPH ANDREW MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, SRNA
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-9950
Mailing address
353 EASTWOOD RD, RAVENSWOOD, WV 26164-8642
(304) 531-9377
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
97080
WV
2255A2300X
Athletic Trainer
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190273
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2022
Last updated
07/09/2024
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