Provider Demographics
NPI:1881192235
Name:MUELLER, CASEY M (APRN-CRNA)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:M
Last Name:MUELLER
Suffix:
Gender:F
Credentials:APRN-CRNA
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:SCHMIESING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:410 W 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:419-953-5158
Mailing Address - Fax:
Practice Address - Street 1:3600 STELZER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3675
Practice Address - Country:US
Practice Address - Phone:614-255-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CRNA.019686367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered