Provider Demographics
NPI:1023390549
Name:MUELLER, UWE (RN)
Entity Type:Individual
Prefix:MR
First Name:UWE
Middle Name:
Last Name:MUELLER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 CRAIN BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-6913
Mailing Address - Country:US
Mailing Address - Phone:336-982-2192
Mailing Address - Fax:
Practice Address - Street 1:704 CRAIN BRANCH LN
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-6913
Practice Address - Country:US
Practice Address - Phone:336-982-2192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-10
Last Update Date:2011-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC249076163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse