Individual provider · Type 1 NPI
Julie Leanne Mullen, PA
Medical Physician Assistant · Prudenville, MI
NPI number
1669134706
Active
Practice location
200 Grand Ave Ste B
Prudenville, MI 48651-9571
Fax (989) 366-4945
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Other practice locations
- 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 · (989) 366-2900
- 1250 E Michigan Ave, Grayling, MI 49738-7074 · (989) 348-0550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4759 (TN) |
| Medical Physician Assistant Primary | 363AM0700X | 5601010818 (MI) |
Medical Physician Assistant: Definition to come...
About NPI 1669134706
Julie Leanne Mullen, PA's National Provider Identifier is 1669134706, issued on Oct 6, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Prudenville, MI. The record was last updated on Aug 1, 2023.