Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shanen M Mulles, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790313476

Dr. Shanen M Mulles, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Newark, NJ

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • Hsc Level 19, Room 030, Stony Brook, NY 11794-8191 — (631) 444-1791

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790313476
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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