Healthcare Provider Details

I. General information

NPI: 1578956058
Provider Name (Legal Business Name): CAROLYN MULLER HULL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLYN MULLER FNP-C, RN

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 BARRETT DR STE 200
RALEIGH NC
27609-7213
US

IV. Provider business mailing address

3700 BARRETT DR STE 200
RALEIGH NC
27609-7213
US

V. Phone/Fax

Practice location:
  • Phone: 919-231-3966
  • Fax: 919-231-3912
Mailing address:
  • Phone: 919-231-3966
  • Fax: 919-231-3912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5011732
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: