Provider Demographics
NPI:1134891658
Name:MUEGGE, CAROLINE NICOLE
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:NICOLE
Last Name:MUEGGE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CAROLINE
Other - Middle Name:N
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6220 W WHITETAIL DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-8708
Mailing Address - Country:US
Mailing Address - Phone:405-562-0406
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-03
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program