Healthcare Provider Details

I. General information

NPI: 1306396189
Provider Name (Legal Business Name): ELENA C MUEHTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 CHURCH HILL RD STE 1
LEEDS ME
04263-3418
US

IV. Provider business mailing address

180 CHURCH HILL RD STE 1
LEEDS ME
04263-3418
US

V. Phone/Fax

Practice location:
  • Phone: 207-524-3501
  • Fax: 207-524-2093
Mailing address:
  • Phone: 207-524-3501
  • Fax: 207-524-2093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2302939
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number087701-23
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP251047
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: