Individual
MARK D MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 DUDLEY STREET, PROVIDENCE, RI 02905
(401) 885-2917
(401) 456-3621
Mailing address
303 VARNUM DRIVE, EAST GREENWICH, RI 02818
(401) 885-2917
(401) 456-3621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA36569
RI
Other
Enumeration date
04/11/2007
Last updated
07/18/2025
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