Mullin, Heather Ann

Mullin, Heather Ann is an individual health care provider with primary practice located at 90 Presidential Plaza 3Rd Fl, Syracuse NY 13202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mullin, Heather Ann can be contacted via phone (315) 464-4357.

Contact Information

Primary practice address
90 Presidential Plaza 3Rd Fl Syracuse NY 13202
Fax: (315) 464-2030
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382370 New York

Profile Details

NPI number 1124461116
LBN Legal business name Mullin, Heather Ann
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Feb 12th, 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 1124461116 NPPES
New York MEDICAID 03583951

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