Basic Information
| Provider Information | |||||||||
| NPI: | 1003150061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MULLEN | ||||||||
| FirstName: | CARMILITA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1818 NEW YORK AV | ||||||||
| Address2: | 117 GLOBAL HEALTH CARE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024800813 | ||||||||
| FaxNumber: | 2025032363 | ||||||||
| Practice Location | |||||||||
| Address1: | 1818 NEW YORK AV | ||||||||
| Address2: | 117 GLOBAL HEALTH CARE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024800813 | ||||||||
| FaxNumber: | 2025032363 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2012 | ||||||||
| LastUpdateDate: | 11/15/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374U00000X | Y | Nursing Service Related Providers | Home Health Aide |
No ID Information.