Individual
ALEXANDRA MARIE MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 E PARHAM RD, HENRICO, VA 23228-3119
(423) 260-0655
Mailing address
9101 STONY POINT PKWY APT 1224, RICHMOND, VA 23235-2060
(423) 260-0655
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
0110-006156
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0110-006156
VA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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