Provider Demographics
NPI:1578193280
Name:MUEHLHAUSER, KRISTINA (CPM)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:MUEHLHAUSER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7047 LOWER TWIN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:45681-9712
Mailing Address - Country:US
Mailing Address - Phone:207-385-3986
Mailing Address - Fax:740-634-3006
Practice Address - Street 1:7047 LOWER TWIN RD
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:OH
Practice Address - Zip Code:45681-9712
Practice Address - Country:US
Practice Address - Phone:207-385-3986
Practice Address - Fax:740-634-3006
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECPM655176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife