Provider Demographics
NPI:1669827739
Name:MULDER, ALANA B (RN)
Entity Type:Individual
Prefix:MS
First Name:ALANA
Middle Name:B
Last Name:MULDER
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 1:1155 CLEMSON FRONTAGE RD
Mailing Address - Street 2:APT. 501
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8228
Mailing Address - Country:US
Mailing Address - Phone:803-427-3908
Mailing Address - Fax:803-695-7921
Practice Address - Street 1:1155 CLEMSON FRONTAGE RD
Practice Address - Street 2:APT. 501
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8228
Practice Address - Country:US
Practice Address - Phone:803-427-3908
Practice Address - Fax:803-695-7921
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9199536163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse