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NPI Code Detail

MEDICARE: JULIE M MUELLER FNP

MEDICARE:   JULIE M MUELLER  FNP
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
1363LF0000XFamily Nurse Practitioner209.014219IL
2363LF0000XFamily Nurse Practitioner2015019129MO

General Provider Information

NPI Number : 1902254584
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE M MUELLER FNP
Provider Business Mailing Address
First Line : 7334 S LINDBERGH BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4522
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 7334 S LINDBERGH BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63125-4522
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2016
Last Update Date : 06/01/2016

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Directions to “ JULIE M MUELLER FNP” Practice Location

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