Provider Demographics
NPI:1073024618
Name:MULLER, CHANTAL FRANCESCA
Entity Type:Individual
Prefix:
First Name:CHANTAL
Middle Name:FRANCESCA
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 1:736 SUNDOWN RD
Mailing Address - Street 2:
Mailing Address - City:SUNDOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12740-4807
Mailing Address - Country:US
Mailing Address - Phone:845-636-8253
Mailing Address - Fax:
Practice Address - Street 1:736 SUNDOWN RD
Practice Address - Street 2:
Practice Address - City:SUNDOWN
Practice Address - State:NY
Practice Address - Zip Code:12740-4807
Practice Address - Country:US
Practice Address - Phone:845-636-8253
Practice Address - Fax:845-636-8253
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7204881163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical