Individual
MS. DONNA MAE MULLENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2849 CTY RD 103, BARNUM, MN 55707
(218) 384-3616
Mailing address
2849 CTY RD 103, BARNUM, MN 55707
(218) 384-3616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6363
MN
Other
Enumeration date
01/04/2019
Last updated
01/31/2022
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