Provider Demographics
NPI:1518685254
Name:SEWELL-MULLER, LAURIE CHRISTINE (DNP, ARNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:CHRISTINE
Last Name:SEWELL-MULLER
Suffix:
Gender:F
Credentials:DNP, ARNP, PMHNP-BC
Other - Prefix:DR
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:SEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6910 PACIFIC ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-1044
Mailing Address - Country:US
Mailing Address - Phone:402-504-3707
Mailing Address - Fax:402-504-3714
Practice Address - Street 1:6910 PACIFIC ST STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-1044
Practice Address - Country:US
Practice Address - Phone:402-504-3707
Practice Address - Fax:402-504-3714
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG170435363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health