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NPI Code Detail

MEDICARE: ROBERT BENJAMIN MUELLER CRNA

MEDICARE: ROBERT BENJAMIN MUELLER CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse255409NC
2367500000XCertified Registered Nurse Anesthetist7537NC

General Provider Information

NPI Number : 1316644891
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT BENJAMIN MUELLER CRNA
Provider Business Mailing Address
First Line : 4507 TRAILWOOD DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-8233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 124 E GATE CITY BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-1457
Country : US
Telephone Number : 336-587-9242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2023
Last Update Date : 10/14/2024

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