Individual provider · Type 1 NPI

Shannon Mullen, PA

Medical Physician Assistant · Redlands, CA

NPI number 1992173017 Active

Practice location

1690 Barton Rd
Redlands, CA 92373-4229

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1992173017

Shannon Mullen, PA's National Provider Identifier is 1992173017, issued on Sep 5, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Redlands, CA. The record was last updated on Jan 1, 2026.