Healthcare Provider Details

I. General information

NPI: 1750577086
Provider Name (Legal Business Name): PATRICIA ANN MUIR PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 KILDAIRE RD STE 200
CHAPEL HILL NC
27516-4064
US

IV. Provider business mailing address

301 KILDAIRE RD STE 200
CHAPEL HILL NC
27516-4064
US

V. Phone/Fax

Practice location:
  • Phone: 919-967-0771
  • Fax: 919-967-9207
Mailing address:
  • Phone: 919-967-0771
  • Fax: 919-967-9207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number300094
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier124360
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerNURSING LICENSE
# 2
Identifier300094
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerNURSE PRACTITIONER CERTIF

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: