Individual provider · Type 1 NPI
Charles Newton Mullican, ACNP
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1750612669
Active
Practice location
400 S Kingshighway Blvd, Dept Emergency Med
St. Louis, MO 63110-1014
Fax (314) 747-3338
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2010010952 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1750612669
Charles Newton Mullican, ACNP's National Provider Identifier is 1750612669, issued on Jan 18, 2010. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.