Provider Demographics
NPI:1043766033
Name:MULLER, ZAZI
Entity Type:Individual
Prefix:
First Name:ZAZI
Middle Name:
Last Name:MULLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 MILL GAP RD
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:WV
Mailing Address - Zip Code:26802-8656
Mailing Address - Country:US
Mailing Address - Phone:501-282-5402
Mailing Address - Fax:
Practice Address - Street 1:2590 MILL GAP RD
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:WV
Practice Address - Zip Code:26802-8656
Practice Address - Country:US
Practice Address - Phone:501-282-5402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife