Individual
TINA MARIE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
609 THOROUGHBRED LN, GREENWOOD, IN 46142-7588
(177) 603-3883
Mailing address
609 THOROUGHBRED LN, GREENWOOD, IN 46142-7588
(177) 603-3883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG09210075
IN
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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