MEDICARE: ELIZABETH MUELLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1013773910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MUELLER

Provider Business Mailing Address
First Line	:	1723 ARBOR WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-2128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1723 ARBOR WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-2128
Country	:	US
Telephone Number	:	315-212-8498
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/27/2024

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Directions to “ ELIZABETH MUELLER ” Practice Location

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