Provider Demographics
NPI:1568881035
Name:MULLER, ANDREW (LAC, RN)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:MULLER
Suffix:
Gender:M
Credentials:LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11728 WINDY CREEK DR
Mailing Address - Street 2:APT. D
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11728 WINDY CREEK DR
Practice Address - Street 2:APT. D
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1920
Practice Address - Country:US
Practice Address - Phone:858-245-2136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist