Provider Demographics
NPI:1811007263
Name:MULLER, PATRICIA ANN (PAC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:MULLER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5601 LOCH RAVEN BLVD # 2N
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2950
Mailing Address - Country:US
Mailing Address - Phone:433-444-4275
Mailing Address - Fax:443-444-4276
Practice Address - Street 1:5601 LOCH RAVEN BLVD # 2N
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2950
Practice Address - Country:US
Practice Address - Phone:433-444-4275
Practice Address - Fax:443-444-4276
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCOO01956363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical