Healthcare Provider Details

I. General information

NPI: 1316801368
Provider Name (Legal Business Name): DENISE MICHELE MULLINS DNP, RN,COHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4170 NORMAN SCOTT RD STE 5
SAN DIEGO CA
92136-5521
US

IV. Provider business mailing address

35948 AVIGNON CT
WINCHESTER CA
92596-9168
US

V. Phone/Fax

Practice location:
  • Phone: 951-404-9614
  • Fax:
Mailing address:
  • Phone: 951-404-9614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN3389752
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberRN95416235
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: