Individual
SCHANNON MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5200
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURS-RN-LIC-132267
MT
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-291164
MT
363LF0000X
Family Nurse Practitioner
Primary
NURS-RN-LIC-132267
MT
Other
Enumeration date
01/06/2025
Last updated
07/08/2026
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