Provider Demographics
NPI:1184294803
Name:MULLINS, RACHEL ROLIN (CRNA, DNP)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ROLIN
Last Name:MULLINS
Suffix:
Gender:
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27842 SHELTON RD E
Mailing Address - Street 2:
Mailing Address - City:ELKMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35620-3168
Mailing Address - Country:US
Mailing Address - Phone:256-278-6747
Mailing Address - Fax:
Practice Address - Street 1:27842 SHELTON RD E
Practice Address - Street 2:
Practice Address - City:ELKMONT
Practice Address - State:AL
Practice Address - Zip Code:35620-3168
Practice Address - Country:US
Practice Address - Phone:256-278-6747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2025-03-21
Deactivation Date:2021-06-25
Deactivation Code:
Reactivation Date:2022-05-24
Provider Licenses
StateLicense IDTaxonomies
KY3016851367500000X
AL1-153864163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse