Individual
MARY MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28080466A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71005847A
IN
Other
Enumeration date
08/11/2015
Last updated
09/28/2023
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