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NPI Code Detail

MEDICARE: MRS. CARRIE MICHELLE MULLER CRNA

MEDICARE:  MRS. CARRIE MICHELLE MULLER  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
1367500000XCertified Registered Nurse Anesthetist0024166944VA

General Provider Information

NPI Number : 1558341446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARRIE MICHELLE MULLER CRNA
Provider Business Mailing Address
First Line : 828 HEALTHY WAY
Second Line : SUITE 115
City : VIRGINIA BEACH
State : VA
Zip : 23462-7958
Country : US
Telephone Number : 757-495-8070
Fax Number :
Provider Business Practice Location Address
First Line : 828 HEALTHY WAY
Second Line : SUITE 115
City : VIRGINIA BEACH
State : VA
Zip : 23462-7958
Country : US
Telephone Number : 757-495-8070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 09/27/2011

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Directions to “ MRS. CARRIE MICHELLE MULLER CRNA” Practice Location

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