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NPI Code Detail

MEDICARE: RENEE MUELLER PA-C

MEDICARE:   RENEE  MUELLER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA031270DC
2363AM0700XMedical Physician Assistant0110-005436VA
3363A00000XPhysician AssistantPA60881076WA

General Provider Information

NPI Number : 1700334760
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE MUELLER PA-C
Provider Business Mailing Address
First Line : 6002 W N RIVER DRIVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208
Country : US
Telephone Number : 509-482-4402
Fax Number : 509-482-5071
Provider Business Practice Location Address
First Line : 6130 OXON HILL RD STE 202
Second Line :
City : OXON HILL
State : MD
Zip : 20745-3168
Country : US
Telephone Number : 301-567-1767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2016
Last Update Date : 11/08/2021

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Directions to “ RENEE MUELLER PA-C” Practice Location

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