Provider Demographics
NPI:1811551278
Name:AMANDA MULLINS RN MSN FNP
Entity Type:Organization
Organization Name:AMANDA MULLINS RN MSN FNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-368-4126
Mailing Address - Street 1:6823 BRAMBLE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3211
Mailing Address - Country:US
Mailing Address - Phone:513-368-4126
Mailing Address - Fax:513-440-1980
Practice Address - Street 1:6823 BRAMBLE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3211
Practice Address - Country:US
Practice Address - Phone:513-368-4126
Practice Address - Fax:513-440-1980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty