Doctor Name: | LISA L MULL |
NPI Number: | 1033531421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 5006695 |
Business Practice Address: | 2209 S Sterling St Suite 300 Morganton, NC - 286554091 |
Business Phone Number: | 8285804010 |
Business Fax Number: | 8285804009 |
Mailing Address: | 2209 S Sterling St, Suite 300 MORGANTON |
State: | NC |
Postal Code: | 286554091 |
Phone Number: | 8285804010 |
Fax Number: | 8285804009 |
NPI Enumeration Date: | 01/20/2014 |
NPI Last Update Date: | 01/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5006695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |