Individual
CRISTY R MULLINIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2651 S 800 W, SWAYZEE, IN 46986-9615
(765) 660-7860
(765) 671-3505
Mailing address
330 N WABASH, SUITE G20, MARION, IN 46952-2600
(765) 660-7616
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007378A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001111096
ANTHEM
IN
05
—
300009975
—
IN
Enumeration date
06/20/2017
Last updated
10/19/2020
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