Healthcare Provider Details

I. General information

NPI: 1710782206
Provider Name (Legal Business Name): ELIZABETH G MUELLER RN BSN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 02/18/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 WILDWOOD LN
SAINT LOUIS MO
63122-5133
US

IV. Provider business mailing address

41 WILDWOOD LN
SAINT LOUIS MO
63122-5133
US

V. Phone/Fax

Practice location:
  • Phone: 314-974-6373
  • Fax:
Mailing address:
  • Phone: 314-974-6373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number2006038078
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: