Nicholas Dalton Mullis, is a
Student In An Organized Health Care Education/training Program based in Matthews, North Carolina. Nicholas Dalton Mullis is licensed to practice in * (Not Available) (license number ) and his current practice location is
1406 Millview Ln, Matthews, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 221-8394.
NPI number for Nicholas Dalton Mullis is 1508788878 and his current mailing address is 1406 Millview Ln, Matthews, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508788878.
Provider's Profile
| Full Name | Nicholas Dalton Mullis |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1406 Millview Ln, Matthews, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508788878
- Provider Enumeration Date: 07/28/2026
- Last Update Date: 07/28/2026
Medical Identifiers
Medical identifiers for Nicholas Dalton Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508788878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Dalton Mullis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicholas Dalton Mullis,
1406 Millview Ln,
Matthews, NC 28104-3206
Ph: (704) 221-8394 | Nicholas Dalton Mullis,
1406 Millview Ln,
Matthews, NC 28104-3206
Ph: (704) 221-8394 |
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