Linda Mae Mullan LPN

NPI 1740290972 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1740290972
Gender Female
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
LAPWAI ID, 83540-0367, US
Phone (208) 843-2271
Fax (208) 843-2658
Business Location
PO BOX 367
LAPWAI ID, 83540-0367, US
Phone (208) 753-2271
Fax (208) 843-2658
Taxonomy Code 164W00000X
License State Idaho
License Number PW12278
Remove 1740290972 NPI Number

According to our database, Mrs. Linda Mae Mullan LPN NPI is 1740290972, taxonomy code is 164W00000X and license number is PW12278, license state is located at Idaho. Linda Mae Mullan LPN physically located at 111 Bever Grade, Lapwai ID, 83540-0367. NPI Number Linda Mae Mullan LPN has the Individual type.

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1740290972 NPI number is provided on an as is basis without warranty of any kind. 1740290972 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Mae Mullan LPN are for informational purposes only.