MEDICARE: SONYA MULLER RN

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	163W00000X	Registered Nurse	RN132770	AZ

General Provider Information

NPI Number	:	1578426888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA MULLER RN

Provider Business Mailing Address
First Line	:	1155 S POWER RD STE 114
Second Line	:	PMB 409
City	:	MESA
State	:	AZ
Zip	:	85206-3716
Country	:	US
Telephone Number	:	480-201-8856
Fax Number	:

Provider Business Practice Location Address
First Line	:	20939 S 225TH WAY
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-0608
Country	:	US
Telephone Number	:	480-201-8856
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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