Provider Demographics
NPI:1841735255
Name:MUELLER, SARAH BROOKE (RD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BROOKE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 RIVER CHASE
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-5824
Mailing Address - Country:US
Mailing Address - Phone:205-572-1186
Mailing Address - Fax:
Practice Address - Street 1:157 RIVER CHASE
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-5824
Practice Address - Country:US
Practice Address - Phone:205-572-1186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3165133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered