Individual
KIRA LEAH MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
60 LARKSPUR LN, OLGA, WA 98279-9349
(614) 205-0288
Mailing address
60 LARKSPUR LN, OLGA, WA 98279-9349
(614) 205-0288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61217346
WA
363LF0000X
Family Nurse Practitioner
APRN.CNP.0029567
OH
Other
Enumeration date
08/23/2021
Last updated
08/22/2022
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