| Doctor Name: | MEGHAN MULLEN |
| NPI Number: | 1134524176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP014247 |
| Business Practice Address: | 2426 Bristol Rd Bensalem, PA - 190206002 |
| Business Phone Number: | 2157571533 |
| Business Fax Number: | 2157577297 |
| Mailing Address: | Po Box 8500-6335, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191786335 |
| Phone Number: | 2157571533 |
| Fax Number: | 2157577297 |
| NPI Enumeration Date: | 11/04/2014 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP014247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |