MEDICARE: CASEY M. MUELLER APRN-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
1	367500000X	Certified Registered Nurse Anesthetist	APRN.CRNA.019686	OH

General Provider Information

NPI Number	:	1881192235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY M. MUELLER APRN-CRNA

Provider Business Mailing Address
First Line	:	410 W 10TH AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43210-1240
Country	:	US
Telephone Number	:	419-953-5158
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 STELZER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3675
Country	:	US
Telephone Number	:	614-255-2900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	05/17/2023

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