Provider Demographics
NPI:1184163560
Name:MUEHLBAUER, CARMEN ANNE (FNP)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:ANNE
Last Name:MUEHLBAUER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:
Other - Last Name:TANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1470 VOSS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-5729
Mailing Address - Country:US
Mailing Address - Phone:931-505-0322
Mailing Address - Fax:
Practice Address - Street 1:1470 VOSS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-5729
Practice Address - Country:US
Practice Address - Phone:931-505-0322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22267363LF0000X
TN175011163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse