MR. CHARLES NEWTON MULLICAN ACNP NPI 1750612669

NPI Information

MR. Charles Newton Mullican, ACNP is an acute care nurse practitioner in Saint Louis, MO with 14 years of experience. MR. Charles Newton Mullican, ACNP NPI is 1750612669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2010

The provider's business location address is:

400 S KINGSHIGHWAY BLVD
DEPT EMERGENCY MEDICINE
SAINT LOUIS, MO
ZIP 63110-014
Phone: (314) 362-9123
Fax: (314) 747-3338

The NPI 1750612669 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2010 and was last updated on 11/15/2021.

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:

Other Identifiers

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

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