Individual
DR. MARY PATRICIA MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, RN
Contact information
Practice address
250 MONROE AVE NW STE 400, GRAND RAPIDS, MI 49503-2293
(248) 444-4720
Mailing address
21535 SUMMERSIDE LN, NORTHVILLE, MI 48167-1055
(248) 444-4720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704190831
MI
Other
Enumeration date
07/10/2008
Last updated
10/13/2020
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