Jerold Lee Mullins in Coon Rapids - Nurse Anesthetist, Certified Registered
Jerold Lee Mullins - NPI 1699777359
Jerold Lee Mullins is a Nurse Anesthetist, Certified Registered in Coon Rapids, Minnesota. Jerold Lee Mullins practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jerold Lee Mullins is 1699777359. The last update date is 2008-10-09.
Jerold Lee Mullins's current location address is 8990 Springbrook Dr Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7633980099 and fax number 7633980124. The mailing address for Jerold Lee Mullins is 8990 Springbrook Dr Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerold Lee Mullins |
|---|---|
| Address | 8990 Springbrook Dr Nw, Coon Rapids, Minnesota |
| Phone Number | 7633980099 |
| Fax Number | 7633980124 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1699777359 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2008-10-09 |
Provider Mailing Address Detail
| Address | 8990 Springbrook Dr Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554335850 |
| Phone Number | 7633980099 |
| Fax Number | 7633980124 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R 082378-2 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 367542400 | MN | -- | |
| 268T6MU | MN | BCBSMN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerold Lee Mullins by the Centers for Medicare & Medicaid Services?
The Jerold Lee Mullins has been issued the NPI (National Provider Identifier) 1699777359 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerold Lee Mullins?
The Jerold Lee Mullins is situated at 8990 Springbrook Dr Nw, in the city of Coon Rapids, state of MN, with the zip code 554335850.
What is the area of specialization for Jerold Lee Mullins, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerold Lee Mullins is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699777359 to Jerold Lee Mullins?
The Centers for Medicare & Medicaid Services assigned the 1699777359 to Jerold Lee Mullins on 2005-08-12.
When was the information pertaining to Jerold Lee Mullins most recently updated or revised?
The details related to Jerold Lee Mullins, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-09.