Provider Demographics
NPI:1659879013
Name:MUELLENSCHLADER, MEAGAN CAMILLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:CAMILLE
Last Name:MUELLENSCHLADER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 POLICE ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-2446
Mailing Address - Country:US
Mailing Address - Phone:318-272-8091
Mailing Address - Fax:
Practice Address - Street 1:612 POLICE ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-2446
Practice Address - Country:US
Practice Address - Phone:318-272-8091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN139703163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics