Provider Demographics
NPI:1821268277
Name:MULLINS, AMY PIPER (RD, LD/N)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:PIPER
Last Name:MULLINS
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2292 WEDNESDAY ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4334
Mailing Address - Country:US
Mailing Address - Phone:850-933-6007
Mailing Address - Fax:850-906-0112
Practice Address - Street 1:2292 WEDNESDAY ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4334
Practice Address - Country:US
Practice Address - Phone:850-933-6007
Practice Address - Fax:850-906-0112
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-01
Last Update Date:2008-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4766133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered