Healthcare Provider Details

I. General information

NPI: 1699970418
Provider Name (Legal Business Name): COLLEEN ELIZABETH MULLIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7233 CHURCH RANCH BLVD
WESTMINSTER CO
80021-4094
US

IV. Provider business mailing address

9850 GENESEE AVE STE 820
LA JOLLA CA
92037-1219
US

V. Phone/Fax

Practice location:
  • Phone: 303-925-4020
  • Fax: 303-925-4021
Mailing address:
  • Phone: 858-677-0777
  • Fax: 858-677-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDR0056047
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number24742
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: