Provider Demographics
NPI:1124847660
Name:MULUH, CLAUDINE AYAH (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:CLAUDINE
Middle Name:AYAH
Last Name:MULUH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 BOBWHITE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-3605
Mailing Address - Country:US
Mailing Address - Phone:804-683-0435
Mailing Address - Fax:
Practice Address - Street 1:5005 BOBWHITE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-3605
Practice Address - Country:US
Practice Address - Phone:804-683-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191198363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health