Healthcare Provider Details

I. General information

NPI: 1053730432
Provider Name (Legal Business Name): REBECCA MULLEN M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7403 CHURCH RANCH BLVD UNIT 107
WESTMINSTER CO
80021-5490
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-9000
  • Fax:
Mailing address:
  • Phone: 303-493-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0059069
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: