Amanda Mullins, LPN Valid NPI
Individual provider · Licensed Practical Nurse · Fort Wayne, IN
- NPI
- 1336458595
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- 27060453A (IN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-10-05
- Last updated
- 2010-10-05
Practice location
1919 Eminence Break Pass
Fort Wayne, IN 46808-4824
(260) 715-0195