Provider Demographics
NPI:1043843782
Name:MUELLER, ANDREA CLAIRE (PA)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:CLAIRE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8050 IMPERIAL CT N
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-9340
Mailing Address - Country:US
Mailing Address - Phone:320-293-1876
Mailing Address - Fax:
Practice Address - Street 1:8050 IMPERIAL CT N
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-9340
Practice Address - Country:US
Practice Address - Phone:320-293-1876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant