Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN.CNP.023464 | OH |
N | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.023464 | OH |
NPI | 1043442064 |
---|---|
Provider Name | Rachel Ann Mullins |
First Address | Toledo, OH 43604-1558 |
Second Address | Toledo, OH 43606-5131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2009 |
Last Update Date | 10/07/2020 |