Provider Demographics
NPI:1225384308
Name:MUELLER, ASHLEY (RD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:DEPPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:11736 CARMEL CREEK RD APT 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6616
Mailing Address - Country:US
Mailing Address - Phone:619-846-9388
Mailing Address - Fax:
Practice Address - Street 1:11736 CARMEL CREEK RD APT 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-6616
Practice Address - Country:US
Practice Address - Phone:619-846-9388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1058855133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered