Individual
STEVIE-MARIE ANN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 84014-5560
(801) 298-3802
Mailing address
1222 W LEGACY CROSSING BLVD STE 200, CENTERVILLE, UT 84014-5560
(801) 298-3802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13155157-1206
UT
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
11/29/2022
Last updated
03/23/2026
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