Healthcare Provider Details

I. General information

NPI: 1720346505
Provider Name (Legal Business Name): AMBER LEIGH MULLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 LIVERPOOL STREET
HOBART TAS
7000
AU

IV. Provider business mailing address

46 NANKOOR CRESCENT
HOWRAH CHOOSE
7018
AU

V. Phone/Fax

Practice location:
  • Phone: 44-783-5030
  • Fax:
Mailing address:
  • Phone: 36-286-8106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number63222
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: