Provider Demographics
NPI:1407289929
Name:MUFFLEY, SEAN LEE (ARNP-FNP)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:LEE
Last Name:MUFFLEY
Suffix:
Gender:M
Credentials:ARNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26377 RICHBARN RD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-5446
Mailing Address - Country:US
Mailing Address - Phone:352-848-0241
Mailing Address - Fax:
Practice Address - Street 1:26377 RICHBARN RD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-5446
Practice Address - Country:US
Practice Address - Phone:352-848-0241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9225722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily