MEDICARE: ELIZABETH MUHA FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN-NP334714	GA

General Provider Information

NPI Number	:	1255296042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MUHA FNP-C

Provider Business Mailing Address
First Line	:	530 E PACES FERRY RD NE APT 631
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3354
Country	:	US
Telephone Number	:	419-296-4128
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BUCKHEAD AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-3063
Country	:	US
Telephone Number	:	917-419-9630
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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