Healthcare Provider Details

I. General information

NPI: 1326978354
Provider Name (Legal Business Name): MICHELLE MARIE MUELLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12001 BUSINESS BLVD STE 3B
EAGLE RIVER AK
99577-7993
US

IV. Provider business mailing address

18791 S BIRCHWOOD LOOP RD
CHUGIAK AK
99567-6605
US

V. Phone/Fax

Practice location:
  • Phone: 907-212-3420
  • Fax: 907-212-5576
Mailing address:
  • Phone: 907-212-3420
  • Fax: 907-212-5576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberNURR18241
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: