Provider Demographics
NPI:1629951421
Name:MULLEN, DARRIN MICHAEL
Entity type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:MICHAEL
Last Name:MULLEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:BASSETT
Mailing Address - State:NE
Mailing Address - Zip Code:68714-0264
Mailing Address - Country:US
Mailing Address - Phone:970-580-9544
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 264
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:NE
Practice Address - Zip Code:68714-0264
Practice Address - Country:US
Practice Address - Phone:970-580-9544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider