Provider Demographics
NPI:1013662170
Name:MULLER, BRITTANY A (MMS, PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:MULLER
Suffix:
Gender:F
Credentials:MMS, PA-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:A
Other - Last Name:ALLENDORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3220 ATLANTA ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62707-8801
Mailing Address - Country:US
Mailing Address - Phone:217-588-7400
Mailing Address - Fax:
Practice Address - Street 1:3220 ATLANTA ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62707-8801
Practice Address - Country:US
Practice Address - Phone:217-588-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL085.008922OtherPA