Healthcare Provider Details

I. General information

NPI: 1740489012
Provider Name (Legal Business Name): CORINNA LYNN MULLER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CORINNA LYNN HARTLEY DO

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4120 LAUREL ST STE 203
ANCHORAGE AK
99508-5392
US

IV. Provider business mailing address

4120 LAUREL ST STE 203
ANCHORAGE AK
99508-5392
US

V. Phone/Fax

Practice location:
  • Phone: 907-677-2636
  • Fax: 907-677-2631
Mailing address:
  • Phone: 907-677-2636
  • Fax: 907-677-2631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOP70064389
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number7157
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberOP70064389
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number011738
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: