Provider Demographics
NPI:1497530182
Name:MUELLER, ANNA ELIZABETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ELIZABETH
Last Name:MUELLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:212 HOSPITAL LANE SUITE 102
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63775
Mailing Address - Country:US
Mailing Address - Phone:573-547-4960
Mailing Address - Fax:573-547-6540
Practice Address - Street 1:212 HOSPITAL LANE SUITE 102
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775
Practice Address - Country:US
Practice Address - Phone:573-547-4960
Practice Address - Fax:573-547-6540
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO044196332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies