MS. KRISTINA L. MULLEN PAC
NPI 1588757306
Physician Assistant - Surgical in Mount Vernon, WA

Active since October 02, 2006
2320 FREEWAY DRIVE, MOUNT VERNON, WA 98273(360) 814-6100(360) 814-6110 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kristina L. Mullen Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTINA L. MULLEN PAC (NPI 1588757306) is an individual surgical provider in Mount Vernon, Washington, licensed in Washington (PA10004818) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1588757306
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KRISTINA L. MULLENCredential: PAC
Location Address2320 FREEWAY DRIVEMount Vernon, WA 98273
Mailing Address1400 E Kincaid St, C/o CredentialingMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485
Fax(360) 814-6110
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 1, 2014
NPI 1588757306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA10004818
2320 FREEWAY DRIVE, Mount Vernon, WA 98273

Other Names 1

Former Name (1)Miss Kristina L. Johnson Pac

Other Identifiers 1

Medicare UPINQ40978WA

Accepted Insurance

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2320 FREEWAY DRIVE, SKAGIT REGIONAL CLINICS - RIVERBEND
MOUNT VERNON, WA 98273
Orthopaedic Surgery
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98273
Physician Assistant
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98273
Pediatrics
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98273
Orthopaedic Surgery
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98273
Orthopaedic Surgery
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98273
Physician Assistant (Surgical)
2320 FREEWAY DRIVE, SKAGIT REGIONAL CLINICS - RIVERBEND ORTHOPEDICS
MOUNT VERNON, WA 98273
Orthopaedic Surgery
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588757306, enumerated as an "individual" on October 02, 2006.

The provider is located at 2320 FREEWAY DRIVE MOUNT VERNON, WA 98273 and the phone number is (360) 814-6100.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.