Healthcare Provider Details

I. General information

NPI: 1154548360
Provider Name (Legal Business Name): CARA MUHLHAHN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 E 11TH STREET #C3
NEW YORK NY
10009
US

IV. Provider business mailing address

646 E 11TH STREET #C3
NEW YORK NY
10009
US

V. Phone/Fax

Practice location:
  • Phone: 212-388-1837
  • Fax: 212-533-8289
Mailing address:
  • Phone: 212-388-1837
  • Fax: 212-533-8289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number381132
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: