Provider Demographics
NPI:1073750873
Name:ANYANWU-MUELLER, COLLINS (RN)
Entity Type:Individual
Prefix:MR
First Name:COLLINS
Middle Name:
Last Name:ANYANWU-MUELLER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PARK TER
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-5716
Mailing Address - Country:US
Mailing Address - Phone:862-703-8077
Mailing Address - Fax:973-731-1828
Practice Address - Street 1:40 PARK TER
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5716
Practice Address - Country:US
Practice Address - Phone:862-703-8077
Practice Address - Fax:973-731-1828
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14011900163W00000X
NY609984163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse