Provider Demographics
NPI:1326441767
Name:MULLER, BRIGETT DENISE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRIGETT
Middle Name:DENISE
Last Name:MULLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CENTREPARK BLVD STE 165
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7432
Mailing Address - Country:US
Mailing Address - Phone:561-253-3980
Mailing Address - Fax:
Practice Address - Street 1:11621 KEW GARDENS AVE STE 101A
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2853
Practice Address - Country:US
Practice Address - Phone:561-253-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108217363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical