Provider Demographics
NPI:1487955233
Name:MULLINS, DONNA CLAIRE (RN, CNS)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:CLAIRE
Last Name:MULLINS
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 NW 63RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3710
Mailing Address - Country:US
Mailing Address - Phone:405-843-3456
Mailing Address - Fax:
Practice Address - Street 1:3333 NW 63RD ST STE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3710
Practice Address - Country:US
Practice Address - Phone:405-843-3456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKN0242835174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator