Healthcare Provider Details

I. General information

NPI: 1558287714
Provider Name (Legal Business Name): NOEL JOHN MUELLER III EMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1500 MATTHEWS TOWNSHIP PKWY
MATTHEWS NC
28105-4656
US

IV. Provider business mailing address

8420 SOUTHGATE COMMONS DR
CHARLOTTE NC
28277-2224
US

V. Phone/Fax

Practice location:
  • Phone: 919-395-0852
  • Fax:
Mailing address:
  • Phone: 919-395-0852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberM5099552
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: