Provider Demographics
NPI:1619922408
Name:STULEN, MURIEL J (CRNA)
Entity Type:Individual
Prefix:MS
First Name:MURIEL
Middle Name:J
Last Name:STULEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9438 S COUNTY RD E
Mailing Address - Street 2:
Mailing Address - City:SOLON SPRINGS
Mailing Address - State:WI
Mailing Address - Zip Code:54873-8264
Mailing Address - Country:US
Mailing Address - Phone:218-590-9996
Mailing Address - Fax:
Practice Address - Street 1:9438 S COUNTY RD E
Practice Address - Street 2:
Practice Address - City:SOLON SPRINGS
Practice Address - State:WI
Practice Address - Zip Code:54873-8264
Practice Address - Country:US
Practice Address - Phone:218-590-9996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704240570367500000X
WI89570-030367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM17750109Medicare PIN