Individual provider · Type 1 NPI

Nicholas Dalton Mullis

Student in an Organized Health Care Education/Training Program · Matthews, NC

NPI number 1508788878 Active

Practice location

1406 Millview Ln
Matthews, NC 28104-3206

Call (704) 221-8394 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
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 1508788878

Nicholas Dalton Mullis's National Provider Identifier is 1508788878, issued on Jul 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Matthews, NC. The record was last updated on Jul 28, 2026.