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NPI Code Detail

MEDICARE: HOLLY MARIE MUELLER BSN, RN

MEDICARE: HOLLY MARIE MUELLER BSN, 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
1163WP0808XPsychiatric/Mental Health Registered Nurse153750IA

General Provider Information

NPI Number : 1629888904
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY MARIE MUELLER BSN, RN
Provider Business Mailing Address
First Line : 1850 ROYAL AVE
Second Line :
City : SPIRIT LAKE
State : IA
Zip : 51360-1190
Country : US
Telephone Number : 712-336-6428
Fax Number : 612-725-1098
Provider Business Practice Location Address
First Line : 1850 ROYAL AVE
Second Line :
City : SPIRIT LAKE
State : IA
Zip : 51360-1190
Country : US
Telephone Number : 712-336-6428
Fax Number : 612-725-1098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2025
Last Update Date : 04/13/2026

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