Individual
CARLA ALLISON MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4500
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4500
(707) 544-4626
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0061190
—
CA
05
—
GR0061200
—
CA
01
—
W12122
MEDICARE GROUP NUMBER
CA
01
—
W12122A
MEDICARE GROUP NUMBER
CA
Enumeration date
09/21/2007
Last updated
08/14/2025
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