MISS KELLY VERONICA MULLEN (NPI# 1487018206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487018206 |
| Entity Type | Individual |
| Full Name | MISS KELLY VERONICA MULLEN |
| Credential | N.P. |
| Practice Address |
8 Norma Ln Kings Park NY 11754-4521 |
| Practice Telephone | 6376788470 |
| Mailing Telephone | 6376788470 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306187 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174666093 | Kelly Ann Mullen | Speech-Language Pathologist | 1468 E Cruikshank Rd, Valencia, PA 16059-3710 | 2007-02-14 |
| 1669992228 | Kelly Louise Mullen | Family Medicine | 605 N Walnut St, North Manchester, IN 46962-1857 | 2017-06-26 |
| 1194083873 | Kelly Karen Mullen | Counselor | 333 N Braddock Ave, Pittsburgh, PA 15208-2512 | 2012-05-01 |
| Street Address |
8 NORMA LN |
| City | KINGS PARK |
| State | NY |
| Zip Code | 11754-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821450214 | Brianna Mckee | Behavior Technician | 46 Boxwood Dr, Kings Park, NY 11754 | 2016-03-24 |
| 1144681438 | Giuseppe M Massaro | Pharmacist | 750 Rt 25a, Kings Park, NY 11754 | 2016-03-14 |
| 1003272667 | Lindsay Rose Sommo | Speech-Language Pathologist | 1156 Saint Johnland Rd, Kings Park, NY 11754 | 2016-01-12 |
| 1508235292 | Cvs Health | Pharmacist | 750 Ny-25a, Kings Park, NY 11754 | 2015-09-23 |
| 1710364328 | John Gentile Dds PC | Clinic/Center | 7 Meridian Avenue, Kings Park, NY 11754 | 2015-05-04 |
| 1235534074 | Danielle Hefets | Occupational Therapist | 149 Lakebridge Drive N, Kings Park, NY 11754 | 2014-10-22 |
| 1841609708 | Joan O'connor | Counselor | 1 Village Plaza, Suite 302/304, Kings Park, NY 11754 | 2014-08-05 |
| 1376956102 | Eric D Ludwig | Optometrist | 40 Boxwood Dr, Kings Park, NY 11754 | 2014-06-10 |
| 1336568682 | Richard Nemiroff | Social Worker | 42 Old Northport Rd, Kings Park, NY 11754 | 2014-04-15 |
| 1851713382 | Ryan Barkey | Emergency Medical Technician, Basic | 15 Columbus Ave, Kings Park, NY 11754 | 2014-01-17 |
| Find all providers in zip 11754 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639546682 | Suna Chang Park | Nurse Practitioner | 2 Okst St, Kings Park, NY 11754-3827 | 2015-08-25 |
| 1730451568 | Janet Marie Galiczewski | Nurse Practitioner | 5 Knight Ct, Kings Park, NY 11754-2013 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | KINGS PARK |
| Zip Code | 11754 |
Please comment or provide details below to improve the information on MISS KELLY VERONICA MULLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.