MARILYN MCMULLEN NPI 1356354468

NPI Information

  • NPI: 1356354468
  • Provider Name: MARILYN MCMULLEN
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 601 ELMWOOD AVE
    BOX 635
    ROCHESTER, NY
    ZIP 14642
  • Phone: (585) 275-7787

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NPI Details

Marilyn Mcmullen is a pediatrics nurse practitioner in Rochester, NY. Marilyn Mcmullen NPI is 1356354468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 ELMWOOD AVE
BOX 635
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-7787

The enumeration date for this NPI number is 8/14/2006 and was last updated on 2/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsF380615NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102197602MEDICAIDNEW YORK
2CC4565MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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