Healthcare Provider Details

I. General information

NPI: 1609887066
Provider Name (Legal Business Name): DIANE IRENE MUHR MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 HEGEMAN AVE
COLCHESTER VT
05446-3156
US

IV. Provider business mailing address

162 HEGEMAN AVE
COLCHESTER VT
05446-3156
US

V. Phone/Fax

Practice location:
  • Phone: 802-655-1356
  • Fax: 802-655-1231
Mailing address:
  • Phone: 802-655-1356
  • Fax: 802-655-1231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: