MRS. LENEA RAE MULLINS NP NURSE PRACTITIONE NPI 1558867606

NPI Information

NPI: 1558867606
Provider Name: MRS. LENEA RAE MULLINS, NP NURSE PRACTITIONE
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3549 LAKESHORE DR
WATERFORD, MI
ZIP 48329
Phone: (248) 469-6093
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MRS. Lenea Rae Mullins, NP NURSE PRACTITIONE is a gerontology nurse practitioner in Waterford, MI. MRS. Lenea Rae Mullins, NP NURSE PRACTITIONE NPI is 1558867606. 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:

3549 LAKESHORE DR
WATERFORD, MI
ZIP 48329-282
Phone: (248) 469-6093

The NPI 1558867606 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 4/5/2018 and was last updated on 2/1/2023.

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
1	163W00000X	Registered Nurse		4704230460	MICHIGAN	No
2	363LA2200X	Nurse Practitioner	Adult Health	4704230460	MICHIGAN	No
3	363LP2300X	Nurse Practitioner	Primary Care	4704230460	MICHIGAN	No
4	363LG0600X	Nurse Practitioner	Gerontology	4704230460	MICHIGAN	Yes

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
1	163W00000X	OTHER		TAXONOMY

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: 5/5/2024

NPI Synchronization or Removal

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