Provider Demographics
NPI:1558827832
Name:MUELLER, CATHERINE NICHOLS (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NICHOLS
Last Name:MUELLER
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-4135
Mailing Address - Country:US
Mailing Address - Phone:336-978-8236
Mailing Address - Fax:
Practice Address - Street 1:3804 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9134
Practice Address - Country:US
Practice Address - Phone:336-524-0304
Practice Address - Fax:336-584-4387
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011441363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics