Healthcare Provider Details

I. General information

NPI: 1295834745
Provider Name (Legal Business Name): MARGARET MOZINGO MULLINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 02/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 PLEASANT VALLEY LN
BOONE NC
28607
US

IV. Provider business mailing address

224 PLEASANT VALLEY LN
BOONE NC
28607-6743
US

V. Phone/Fax

Practice location:
  • Phone: 336-384-1625
  • Fax: 336-384-1626
Mailing address:
  • Phone: 828-265-3547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200847
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number200847
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: