Individual
DR. PATRICIA CATHLEEN MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PHD
Contact information
Practice address
2401 BRANDERMILL BLVD, GAMBRILLS, MD 21054-1690
(410) 451-0076
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6483
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
R056995
MD
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN1004832
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413558000
—
MD
01
—
81610003
BCBS DC
—
01
—
91709001
BCBS MD
—
01
—
91709002
CAREFIRST
—
01
—
91709003
BCBS
—
Enumeration date
08/29/2007
Last updated
12/03/2013
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