Mary Ann Mullins, RN
Individual provider Active NPI Registered Nurse · Gate City, VA
NPI 1831780089 · NPPES record last updated Jan 31, 2021
Key facts
- NPI
- 1831780089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001291968 (VA)
- Practice address
- 199 Gazebo St
Gate City, VA 24251 - Phone
- (423) 429-6964
- NPI assigned
- Jan 31, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001291968 | VA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001291968 | VA | Yes |
Addresses
Primary practice location
199 Gazebo St
Gate City, VA 24251
Mailing address
199 Gazebo St
Gate City, VA 24251
Other names
- Mary Ann Pendleton
Other providers in Gate City, VA
- Shane Miller
- Christina Millinger
- Jeffrey Montgomery
- Mountain Region Family Medicine, PC
- Mountain Region Family Medicine, PC
- Heather Anne Osborne
- Jeffery Allen Phillips
- Kimberly McGill Pratt
- Lauren Price
- Bobby James Purvis
All providers in Gate City, VA · Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.