Individual
BRIDGET YVETTE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8500
(678) 843-8501
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8500
(678) 843-8501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN146011
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755132055C
—
GA
05
—
755132055D
—
GA
Enumeration date
12/04/2006
Last updated
01/24/2014
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