Provider Demographics
NPI:1609492735
Name:MULLER, CAROLINE MARIE (CPNP-PC, RN)
Entity Type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:MARIE
Last Name:MULLER
Suffix:
Gender:F
Credentials:CPNP-PC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 NORWICH LN
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-3917
Mailing Address - Country:US
Mailing Address - Phone:770-359-9952
Mailing Address - Fax:
Practice Address - Street 1:1055 GROVE ST N
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-3876
Practice Address - Country:US
Practice Address - Phone:706-864-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN278732363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics