Provider Demographics
NPI:1538132105
Name:MUELLER-BARKER, DENISE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:MUELLER-BARKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:MUELLER BATTAGLIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:3488 DEPEW AVE
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-7015
Mailing Address - Country:US
Mailing Address - Phone:941-764-7923
Mailing Address - Fax:941-764-7927
Practice Address - Street 1:3488 DEPEW AVE
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-7015
Practice Address - Country:US
Practice Address - Phone:941-764-7923
Practice Address - Fax:941-764-7927
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2058842363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305872700Medicaid