Individual
KAREN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53422
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53422
BOARD OF NURSING
ID
Enumeration date
08/18/2022
Last updated
08/18/2022
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