=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770456386
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GALE MUELLER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2025
-----------------------------------------------------
Last Update Date | 09/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 503 MAIN ST
-----------------------------------------------------
City | ROLLINSFORD
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03869-5607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-606-7097
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 681
-----------------------------------------------------
City | HAMPTON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03843-0681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-606-7097
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number | CNA-119157
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------