Healthcare Provider Details

I. General information

NPI: 1679602379
Provider Name (Legal Business Name): LINDA MULLER RN-CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 STATE RD
WEST BATH ME
04530-6320
US

IV. Provider business mailing address

270 STATE RD
WEST BATH ME
04530-6320
US

V. Phone/Fax

Practice location:
  • Phone: 207-442-8625
  • Fax: 207-442-8318
Mailing address:
  • Phone: 207-442-8625
  • Fax: 207-442-8318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberCNF105011-22
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: