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NPI Code Detail

MEDICARE: STEPHANIE MULLINS

MEDICARE: STEPHANIE MULLINS
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
1376J00000XHomemaker

General Provider Information

NPI Number : 1891677803
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MULLINS
Provider Business Mailing Address
First Line : 5414 MILLS CREEK LN
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-2339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5414 MILLS CREEK LN
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-2339
Country : US
Telephone Number : 440-334-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2025
Last Update Date : 07/22/2025

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