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Tiffany Beth Mullins, RN

Registered Nurse in Pound, VA. Individual provider (NPI-1).

NPI number1003402629
StatusActive
Last updated in NPPESDec 17, 2020

Details

NPI
1003402629
Entity type
Individual (NPI-1)
Name
Tiffany Beth Mullins
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Dec 17, 2020
Certification date
Dec 15, 2020
Last updated
Dec 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse0001228247VAYes
183700000X Pharmacy Technician0230012735VA

Practice location

11231 Indian Creek Rd
Pound, VA 24279

Phone 276-796-2200 · Fax 276-796-2202

Mailing address

Po Box 1480
Pound, VA 24279-1480

Phone 276-796-2200 · Fax 276-796-2202

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