Provider Demographics
NPI:1336697408
Name:MUELLER, ROSE R (PA)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:R
Last Name:MUELLER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1010 N KANSAS ST
Mailing Address - Street 2:STE 3054
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3124
Mailing Address - Country:US
Mailing Address - Phone:316-293-2611
Mailing Address - Fax:316-293-1882
Practice Address - Street 1:1001 N MINNEAPOLIS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3127
Practice Address - Country:US
Practice Address - Phone:316-293-1840
Practice Address - Fax:855-487-3302
Is Sole Proprietor?:No
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
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Provider Licenses
StateLicense IDTaxonomies
KS15-01927363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical