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Individual

MS. ANGELA D MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Contact information

Practice address
120 EXECUTIVE PARK, LOUISVILLE, KY 40207-4201
(502) 855-7200
(502) 855-7201
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004001
KY
363LF0000X
Family Nurse Practitioner
Primary
3004001
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000360625
ANTHEM
KY
05
78010311
KY
Enumeration date
06/17/2005
Last updated
02/20/2024
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