Basic Information
| Provider Information | |||||||||
| NPI: | 1043442064 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MULLINS | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 SEAGATE STE 800 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436041558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192912003 | ||||||||
| FaxNumber: | 4194796977 | ||||||||
| Practice Location | |||||||||
| Address1: | 2121 HUGHES DR STE 710 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436065131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192912671 | ||||||||
| FaxNumber: | 4192912680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2009 | ||||||||
| LastUpdateDate: | 07/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | APRN.CNP.023464 | OH | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology | 163WH0500X | RN279299 | OH | N | Nursing Service Providers | Registered Nurse | Hemodialysis | 363L00000X | APRN.CNP.023464 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 163WH0200X | RN279299 | OH | N | Nursing Service Providers | Registered Nurse | Home Health |
No ID Information.