Healthcare Provider Details

I. General information

NPI: 1396665543
Provider Name (Legal Business Name): MIKAYLA MUELLER RN-BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3744 83RD ST
COLUMBUS NE
68601-8841
US

IV. Provider business mailing address

6453 COUNTRY CLUB DR
COLUMBUS NE
68601-8337
US

V. Phone/Fax

Practice location:
  • Phone: 402-563-2345
  • Fax:
Mailing address:
  • Phone: 402-563-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number76461
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: