Provider Demographics
NPI:1073548376
Name:MUHLHAN, EVELYN D (CPM, RN, MS)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:D
Last Name:MUHLHAN
Suffix:
Gender:F
Credentials:CPM, RN, MS
Other - Prefix:MS
Other - First Name:EVELYN
Other - Middle Name:D
Other - Last Name:MUHLHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PES, LD
Mailing Address - Street 1:10117 SPRING THAW CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1678
Mailing Address - Country:US
Mailing Address - Phone:443-465-8876
Mailing Address - Fax:410-680-8811
Practice Address - Street 1:10117 SPRING THAW CT
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-1678
Practice Address - Country:US
Practice Address - Phone:443-465-8876
Practice Address - Fax:410-680-8811
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR060032163W00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD603501900Medicaid
MDW47819OtherSTATE CDS
MD1073548376OtherMARYLAND BOARD OF NURSING
MDR060032OtherRN/CNM
MD21D1038644OtherCLIA
MD21D1038644OtherCLIA
MD21D1038644OtherCLIA
MDMM0146767OtherFEDERAL DEA