Provider Demographics
NPI:1730192279
Name:MULLER, GALEEN KATHRYN (CRNA)
Entity type:Individual
Prefix:MRS
First Name:GALEEN
Middle Name:KATHRYN
Last Name:MULLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:GALEEN
Other - Middle Name:
Other - Last Name:FEYEREISEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 PARK AVE, MINNEAPOLIS
Mailing Address - Street 2:
Mailing Address - City:MINNAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415
Mailing Address - Country:US
Mailing Address - Phone:612-873-2232
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1829
Practice Address - Country:US
Practice Address - Phone:612-873-2232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9455874367500000X
WI148684-030367500000X
MN1225758367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered