National Provider Identifier

Rebecca Sue Mullen

Rebecca Sue Mullen is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Angelica, NY and a listed phone number of (585) 991-9388.

NPI 1316663412Angelica, NYHome Health Registered Nurse

Profile Overview

NPI
1316663412
Provider Type
Individual
Primary Specialty
Home Health Registered Nurse
Enumeration Date
October 19, 2022
Last Updated
October 19, 2022

Practice Location

  • 83 Mechanic Street
  • Angelica, NY 14709

Phone: (585) 991-9388

Specialties

  • Home Health Registered Nurse (163WH0200X)
Full Record
NPI
1316663412
Entity Type
Individual
Last Name
Mullen
First Name
Rebecca
Middle Name
Sue
Name Prefix
MS.
Provider Other Last Name
Masterson
Provider Other First Name
Rebecca
Provider Other Middle Name
Sue
Provider Other Last Name Type Code
1
Mailing Street Address
83 Mechanic Street
Mailing City
Angelica
Mailing State
NY
Mailing ZIP Code
14709
Mailing Country
US
Mailing Phone
(585) 991-9388
Practice Street Address
83 Mechanic Street
Practice City
Angelica
Practice State
NY
Practice ZIP Code
14709
Practice Country
US
Practice Phone
(585) 991-9388
Enumeration Date
October 19, 2022
Last Updated
October 19, 2022
Sex
Female
Sole Proprietor
No
Certification Date
October 19, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Registered Nurse (163WH0200X)