Mullane, Marilyn Kay

Mullane, Marilyn Kay is an individual health care provider with primary practice located at 390 W Salem Ave , Winston Salem NC 27101-5861. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mullane, Marilyn Kay can be contacted via phone (336) 721-2375.

Contact Information

Primary practice address
390 W Salem Ave Winston Salem NC 27101-5861
Phone: (336) 721-2375
Fax: (336) 721-2394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 101138 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101138 North Carolina

Profile Details

NPI number 1821091547
LBN Legal business name Mullane, Marilyn Kay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821091547 NPPES
North Carolina MEDICAID 8101706

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