IndividualActive
Charles Mullican, ACNP
NPI 1750612669 · Acute Care Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1750612669
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNP
- Sex
- Male
- Sole proprietor
- No
- License
- 2010010952 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
400 S Kingshighway Blvd
Dept Emergency Med
Saint Louis, MO 63110-1014
Phone: (314) 362-9123
Fax: (314) 747-3338
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2010-01-18
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.