Healthcare Provider Details

I. General information

NPI: 1013958115
Provider Name (Legal Business Name): ANGELA MARIE MULLER F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 LAWNDALE DR
GREENSBORO NC
27455-1885
US

IV. Provider business mailing address

4125 LAWNDALE DR
GREENSBORO NC
27455-1885
US

V. Phone/Fax

Practice location:
  • Phone: 336-543-0786
  • Fax: 336-234-5411
Mailing address:
  • Phone: 336-543-0786
  • Fax: 336-234-5411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0050-03736
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: