Individual
MICHAEL MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
150 S WARNER RD, SUITE 160, KING OF PRUSSIA, PA 19406-2826
(610) 254-9500
(610) 254-9501
Mailing address
150 S WARNER RD, SUITE 160, KING OF PRUSSIA, PA 19406-2826
(610) 254-9500
(610) 254-9501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00254100
NJ
367500000X
Certified Registered Nurse Anesthetist
RN517915L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001967569-0001
—
PA
Enumeration date
12/15/2005
Last updated
08/23/2024
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