Mullins, Kristina Dawn

Mullins, Kristina Dawn is an individual health care provider with primary practice located at 14827 Soaring Eagle Ct , Fort Myers FL 33912-1827. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mullins, Kristina Dawn can be contacted via phone (304) 881-6417.

Contact Information

Primary practice address
14827 Soaring Eagle Ct Fort Myers FL 33912-1827
Phone: (304) 881-6417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00830 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-002366 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0010-00891 North Carolina

Profile Details

NPI number 1598743593
LBN Legal business name Mullins, Kristina Dawn
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Apr 11th, 2017 - about 9 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 1598743593 NPPES
West Virginia Other 0127974000 MEDICAID
West Virginia MEDICAID 0127483000 MEDICAID
West Virginia Other 0126752000 MEDICAID
West Virginia Other 0126874000 MEDICAID

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