Individual
KATELYN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(410) 328-8666
Mailing address
701 W PRATT ST, BALTIMORE, MD 21201-1023
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R189775
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521362793
UNIVERSITY OF MARYLAND
—
Enumeration date
07/17/2014
Last updated
07/17/2014
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