NICOLE MULLEN (NPI# 1841602448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841602448 |
| Entity Type | Individual |
| Full Name | NICOLE MULLEN |
| Practice Address |
319 Main St Towanda PA 18848-1805 |
| Mailing Address |
1 W Main St Fleetwood PA 19522-1323 |
| Practice Telephone | 5702683073 |
| Practice Fax Number | 5702683080 |
| Mailing Telephone | 6109440445 |
| Mailing Fax Number | 6109448834 |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PC007611 | PA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545140 | Nicole Mullen | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-07-16 |
| Street Address |
319 MAIN ST |
| City | TOWANDA |
| State | PA |
| Zip Code | 18848-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326550849 | Cynthia Ann Johnson | Counselor | 319 Main St, Towanda, PA 18848-1805 | 2017-10-25 |
| 1205372539 | Matthew Berkowitz | Social Worker | 319 Main St, Towanda, PA 18848-1805 | 2017-01-10 |
| 1952710550 | Tara Ferguson | Social Worker | 319 Main St, Towanda, PA 18848-1805 | 2014-08-07 |
| 1376845479 | Concern-professional Services for Children, Youth & Families | Community/Behavioral Health | 319 Main St, Towanda, PA 18848-1805 | 2010-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446044 | Mark Mast | Dentist | 1 Elizabeth St # 6, Towanda, PA 18848 | 2019-06-18 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1720367865 | Napp Chiropractic Center LLC | Chiropractor | 51 Hospital Drive, Towanda, PA 18848 | 2011-08-08 |
| 1508158874 | Paula S Bennett | Pharmacist | 1592 Elmira Street, Sayre, PA 18848 | 2011-05-05 |
| 1811299084 | Joshua Charles Maye Sr. | Pharmacist | Bradford Town Center Rr6, Towanda, PA 18848 | 2010-11-22 |
| 1750683017 | Daniel Roland Williams | Pharmacist | Bradford Town Plaza Rr6, Towanda, PA 18848 | 2010-11-18 |
| 1407168933 | Michelle Teresa Delp | Registered Nurse | 4 Bridge St., Towanda, PA 18848 | 2010-07-13 |
| 1255669172 | Teresa Fairchild-pitcher | Nurse Practitioner | 1 Elizabeth St, Towanda, PA 18848 | 2009-12-04 |
| 1831234327 | Christina Vail Audiology Inc | Audiologist | 375 A York Ave, Towanda, PA 18848 | 2007-02-21 |
| 1104990779 | Jorge A Tramontana | Family Medicine | Rr6, Box 6089 (fairview Ave.), Towanda, PA 18848 | 2006-11-17 |
| Find all providers in zip 18848 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1619582533 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 749 South St, Laporte, PA 18626-7019 | 2020-09-09 |
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| 1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
| 1376161919 | Bryan Bass-riley Licensed Professional Counselor, LLC | Clinic/Center | 3825 Northern Pike Ste 202, Monroeville, PA 15146-2161 | 2020-07-09 |
| 1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
| 1366065633 | Let's Talk Counseling, LLC | Clinic/Center | 510 Springfield Rd, Aldan, PA 19018-4227 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.