Individual provider · Type 1 NPI

Maxton Mullis

Student in an Organized Health Care Education/Training Program · Cedar Falls, IA

NPI number 1164301040 Active

Practice location

2351 Hudson Rd
Cedar Falls, IA 50614-0065

Mailing address

137 14th Ave SW
Dyersville, IA 52040-1769

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164301040

Maxton Mullis's National Provider Identifier is 1164301040, issued on Aug 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cedar Falls, IA. The record was last updated on Aug 27, 2025.