Michael McMullen, CRNA
Nurse Anesthetist, Certified Registered in King Of Prussia, PA. Individual provider (NPI-1).
Details
- NPI
- 1780669408
- Entity type
- Individual (NPI-1)
- Name
- Michael McMullen
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2005
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00254100 | NJ | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | RN517915l | PA |
Practice location
150 S Warner RdSuite 160
King Of Prussia, PA 19406-2826
Phone 610-254-9500 · Fax 610-254-9501
Mailing address
150 S Warner RdSuite 160
King Of Prussia, PA 19406-2826
Phone 610-254-9500 · Fax 610-254-9501
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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