COREY ANNE MULLEN (NPI# 1780961722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780961722 |
| Entity Type | Individual |
| Full Name | COREY ANNE MULLEN |
| Credential | N.P. |
| Practice Address |
55 Fruit St Boston MA 02114-2621 |
| Mailing Address |
120 Tudor St Apt B South Boston MA 02127-2681 |
| Practice Telephone | 6177262000 |
| Mailing Telephone | 8572229322 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
RN240924 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427341361 | Corey Mullen | Student in an Organized Health Care Education/Training Program | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2011-05-25 |
| Street Address |
55 FRUIT ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
| 1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
| 1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
| 1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
| 1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
| 1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
| 1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427683598 | Jill Elizabeth Rackliffe | Nurse Practitioner | 55 Fruit St # 8, Boston, MA 02114-2621 | 2020-03-09 |
| 1871152546 | Anja Marie Reed | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2019-06-06 |
| 1730643321 | Anthony Charles Bueno | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2019-01-28 |
| 1336610062 | Natalia Sullivan Vragovic | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5491 | 2018-12-06 |
| 1346616182 | Elyssa Rene Fitelson | Nurse Practitioner | 55 Fruit St, Lunder 6, Boston, MA 02114-2621 | 2015-08-17 |
| 1447482427 | Mark E Courtney | Nurse Practitioner | 110 Francis St, Suite 2a, Boston, MA 02215-5501 | 2009-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041491 | Taryn Trask | Nurse Practitioner | 37 Exeter St, Marlborough, MA 01752-3305 | 2020-01-01 |
| 1992867873 | Kristen T Proverb | Nurse Practitioner | 222 Merrimack St, Suite 300, Lowell, MA 01852 | 2006-12-15 |
| 1114565181 | Christina M Betances | Nurse Practitioner | 145 Ward Hill Ave, Bradford, MA 01835-5896 | 2019-12-20 |
| 1134634520 | Kimberly Lyn Marsh | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-12-06 |
| 1215482518 | Peter Calvin Cohn | Nurse Practitioner | 101 Page St, New Bedford, MA 02740-3464 | 2016-08-17 |
| 1447659636 | Kevin Robert Doray | Nurse Practitioner | 123 Summer St, Worcester, MA 01608-1216 | 2014-08-14 |
| 1093068785 | Leanne Palmer Nygaard Szwaja | Nurse Practitioner | 211 Park St, Attleboro, MA 02703-3143 | 2012-10-18 |
| 1003136417 | Sheryl A. Burns | Nurse Practitioner | 500 Lynnfield St, Pulmonary Physicians, P.C., Lynn, MA 01904-1424 | 2010-06-08 |
| 1114123312 | Bethany Ondrick | Nurse Practitioner | 908 Allen St, Springfield, MA 01118-2533 | 2007-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.