Individual
AMANDA JEAN MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2015 RANDOLPH RD STE 208, CHARLOTTE, NC 28207-1200
(704) 377-4009
(704) 602-6563
Mailing address
13808 PROFESSIONAL CENTER DR, HUNTERSVILLE, NC 28078-7948
(704) 717-5549
(704) 602-6563
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209283
NC
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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