Healthcare Provider Details

I. General information

NPI: 1932062718
Provider Name (Legal Business Name): CAROL MUELLER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7770 COOPER RD STE 5
MONTGOMERY OH
45242-7700
US

IV. Provider business mailing address

1624 DE SALES LN
CINCINNATI OH
45206-1402
US

V. Phone/Fax

Practice location:
  • Phone: 513-400-4613
  • Fax: 513-828-0096
Mailing address:
  • Phone: 859-212-1923
  • Fax: 513-828-0096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0039211
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: