Individual
MRS. LISA MARIE MULLETT
Active
Individual
MRS. LISA MARIE MULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2813-033
WI
363LF0000X
Family Nurse Practitioner
Primary
209001259
IL
Other
Enumeration date
06/07/2006
Last updated
04/26/2024
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