Provider Demographics
NPI:1679002745
Name:MUHLENKAMP, MARIA C (NP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:MUHLENKAMP
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 REID PARKWAY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374
Mailing Address - Country:US
Mailing Address - Phone:937-316-6350
Mailing Address - Fax:937-316-6374
Practice Address - Street 1:1101 JACKSON ST., SUITE B
Practice Address - Street 2:BETHEL CARDIOLOGY
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331
Practice Address - Country:US
Practice Address - Phone:937-316-6350
Practice Address - Fax:937-316-6374
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71007102A363LG0600X, 363LP2300X, 363LA2200X
OHAPRN.CNP.021041363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care