National Provider Identifier
Elizabeth Catherine Mullen, PA-C
Elizabeth Catherine Mullen, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Clifton Springs, NY and a listed phone number of (315) 462-1495.
Source: public NPPES record, last updated July 03, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1609126325
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 11, 2012
- Last Updated
- July 03, 2018
Practice Location
- 4 Coulter RD Ste 1630
- Clifton Springs, NY 14432-1122
Phone: (315) 462-1495
Mailing Address
- 100 Kings Highway South
- Provider Enrollment
- Rochester, NY 14617
Specialties
- Physician Assistant (363A00000X)
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Full Record
- NPI
- 1609126325
- Entity Type
- Individual
- Last Name
- Mullen
- First Name
- Elizabeth
- Middle Name
- Catherine
- Name Prefix
- MS.
- Credential
- PA-C
- Provider Other Last Name
- Willistein
- Provider Other First Name
- Elizabeth
- Provider Other Middle Name
- Catherine
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Highway South
- Mailing Address Line 2
- Provider Enrollment
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617
- Mailing Country
- US
- Mailing Phone
- (585) 922-1304
- Practice Street Address
- 4 Coulter RD Ste 1630
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-1122
- Practice Country
- US
- Practice Phone
- (315) 462-1495
- Enumeration Date
- September 11, 2012
- Last Updated
- July 03, 2018
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Physician Assistant (363A00000X)