| Doctor Name: | SUSAN M MCMULLEN |
| NPI Number: | 1194858266 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 55378 |
| Business Practice Address: | 10701 New Georges Creek Rd Sw Frostburg, MD - 215321457 |
| Business Phone Number: | 3016893229 |
| Business Fax Number: | 3016891129 |
| Mailing Address: | 1 Lakeside Loop, RIDGELEY |
| State: | WV |
| Postal Code: | 267539730 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 55378 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |