MEDICARE: DR. DENISE MICHELE MULLINS DNP, RN,COHN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	RN3389752	FL
2	163WX0106X	Occupational Health Registered Nurse	RN95416235	CA

General Provider Information

NPI Number	:	1316801368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE MICHELE MULLINS DNP, RN,COHN

Provider Business Mailing Address
First Line	:	35948 AVIGNON CT
Second Line	:
City	:	WINCHESTER
State	:	CA
Zip	:	92596-9168
Country	:	US
Telephone Number	:	951-404-9614
Fax Number	:

Provider Business Practice Location Address
First Line	:	4170 NORMAN SCOTT RD STE 5
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92136-5521
Country	:	US
Telephone Number	:	951-404-9614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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