Healthcare Provider Details

I. General information

NPI: 1669205753
Provider Name (Legal Business Name): MARYSE MULLER RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2484 LENA LN
WEST PALM BEACH FL
33415-7275
US

IV. Provider business mailing address

2484 LENA LN
WEST PALM BEACH FL
33415-7275
US

V. Phone/Fax

Practice location:
  • Phone: 954-599-0542
  • Fax:
Mailing address:
  • Phone: 954-599-0542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number9538483
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number9538483
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number9538483
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number9538483
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number9538483
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number9538483
License Number StateDE
# 7
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number9538483
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number9538483
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number9538483
License Number StateFL
# 10
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number9538483
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number9538483
License Number StateFL
# 12
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number9538483
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: