Mullins, Angela D

Mullins, Angela D is an individual health care provider with primary practice located at 120 Executive Park , Louisville KY 40207-4201. 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. Mullins, Angela D can be contacted via phone (502) 855-7200.

Contact Information

Primary practice address
120 Executive Park Louisville KY 40207-4201
Phone: (502) 855-7200
Fax: (502) 855-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004001 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004001 Kentucky

Profile Details

NPI number 1578568390
LBN Legal business name Mullins, Angela D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 20th, 2024 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578568390 NPPES
Kentucky Other 000000360625 ANTHEM
Kentucky MEDICAID 78010311 ANTHEM

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