Healthcare Provider Details

I. General information

NPI: 1679223317
Provider Name (Legal Business Name): CAROLINE MUELLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 FRUITVILLE PIKE
LANCASTER PA
17601-4056
US

IV. Provider business mailing address

1580 FRUITVILLE PIKE
LANCASTER PA
17601-4056
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-6481
  • Fax:
Mailing address:
  • Phone: 412-996-6074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD490754
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: