Provider Demographics
NPI:1306086178
Name:MULLINS, FLORDELIZA VALENCIA (RNFA)
Entity type:Individual
Prefix:MRS
First Name:FLORDELIZA
Middle Name:VALENCIA
Last Name:MULLINS
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10111 BREAWICK CT
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-4438
Mailing Address - Country:US
Mailing Address - Phone:540-374-3200
Mailing Address - Fax:540-374-3210
Practice Address - Street 1:1101 SAM PERRY BLVD STE 207
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4465
Practice Address - Country:US
Practice Address - Phone:540-374-3200
Practice Address - Fax:540-374-3210
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001091987163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant