Provider Demographics
NPI:1316738529
Name:RAJMULIK, SUSHAN (FNP-BC)
Entity type:Individual
Prefix:
First Name:SUSHAN
Middle Name:
Last Name:RAJMULIK
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 BRAMBLING LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-2039
Mailing Address - Country:US
Mailing Address - Phone:713-503-4146
Mailing Address - Fax:
Practice Address - Street 1:2251 BRAMBLING LN
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-2039
Practice Address - Country:US
Practice Address - Phone:713-503-4146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1025249163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse