Provider Demographics
NPI:1518202159
Name:MUELLER, DIANE RENEE (MS, APRN-BC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:RENEE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MS, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3611
Mailing Address - Country:US
Mailing Address - Phone:303-761-1977
Mailing Address - Fax:303-761-2787
Practice Address - Street 1:17866 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3924
Practice Address - Country:US
Practice Address - Phone:303-205-6899
Practice Address - Fax:303-467-5355
Is Sole Proprietor?:No
Enumeration Date:2012-12-09
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990562-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner