Basic Information
Provider Information
NPI: 1952727216
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MULLER
FirstName: CATHERINE
MiddleName: MICHELLE
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 388
Address2:  
City: FISHERSVILLE
State: VA
PostalCode: 229390388
CountryCode: US
TelephoneNumber: 5403325270
FaxNumber: 5403324168
Practice Location
Address1: 57 N MEDICAL PARK DR
Address2:  
City: FISHERSVILLE
State: VA
PostalCode: 229392353
CountryCode: US
TelephoneNumber: 5403325270
FaxNumber: 5403324168
Other Information
ProviderEnumerationDate: 03/11/2014
LastUpdateDate: 07/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X0024171818VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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