| Doctor Name: | REILLEY MULLIN |
| NPI Number: | 1083700710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | NP7138 |
| Business Practice Address: | 1644 Central Avenue Suite F Mckinleyville, CA - 95519 |
| Business Phone Number: | 7078393068 |
| Business Fax Number: | 7078393827 |
| Mailing Address: | 670 Ninth Street, Suite 203 ARCATA |
| State: | CA |
| Postal Code: | 95521 |
| Phone Number: | 7078268633 |
| Fax Number: | 7078268638 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP7138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |