Mullett, Lisa Marie

Mullett, Lisa Marie is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mullett, Lisa Marie can be contacted via phone (217) 383-3311.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2501
Phone: (217) 383-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2813-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209001259 Illinois

Profile Details

NPI number 1548200512
LBN Legal business name Mullett, Lisa Marie
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 26th, 2024 - about 8 months 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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