Individual
MATTHEW MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
950 MAIN ST, WESTBROOK, ME 04092-3067
(207) 517-3800
(207) 517-3819
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017939
CA
Other
Enumeration date
08/02/2021
Last updated
10/31/2024
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