Individual
KATEY J. MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3639
(570) 728-2424
(570) 728-2425
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(570) 501-6368
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP025987
PA
363LG0600X
Gerontology Nurse Practitioner
SP025987
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
SP025987
PA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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