Individual provider · Type 1 NPI

Katrina Rayne Mullen, PA-C

Physician Assistant · Bradenton, FL

NPI number 1912580168 Active

Practice location

5215 E State Road 64
Bradenton, FL 34208-5533

Fax (941) 907-4202

Other practice locations

  • 4051 Upper Creek Dr Ste 108, Sun City Center, FL 33573-6825 · (941) 907-3400

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9114242 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912580168

Katrina Rayne Mullen, PA-C's National Provider Identifier is 1912580168, issued on May 4, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bradenton, FL. The record was last updated on Feb 26, 2025.