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Individual

COREY ANNE MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
120 TUDOR ST, APT B, SOUTH BOSTON, MA 02127-2681
(857) 222-9322

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN240924
MA

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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