Individual
MS. PHILLINA STEPHANIE MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
29992 NORTHWESTERN HWY, SUITE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Mailing address
29992 NORTHWESTERN HWY, SUITE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704257837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451674932
COMMERCIAL
MI
Enumeration date
12/30/2011
Last updated
12/30/2011
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