Provider Demographics
NPI:1124587860
Name:MUELLER, ANNE MARIE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 UNIVERSITY AVE 412D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2157
Mailing Address - Country:US
Mailing Address - Phone:608-695-5280
Mailing Address - Fax:
Practice Address - Street 1:4600 UNIVERSITY AVE 412D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2157
Practice Address - Country:US
Practice Address - Phone:608-695-5280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI96621163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse