Individual
CAROL JEAN MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N 1199 HWY 42, KEWAUNEE, WI 54216
(920) 388-4234
Mailing address
N 1199 HWY 42, KEWAUNEE, WI 54216
(920) 388-4234
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20932-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35071400
—
WI
Enumeration date
10/24/2008
Last updated
10/24/2008
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