Provider Demographics
NPI:1669205753
Name:MULLER, MARYSE (RN BSN)
Entity type:Individual
Prefix:
First Name:MARYSE
Middle Name:
Last Name:MULLER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 LENA LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-7275
Mailing Address - Country:US
Mailing Address - Phone:954-599-0542
Mailing Address - Fax:
Practice Address - Street 1:2484 LENA LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7275
Practice Address - Country:US
Practice Address - Phone:954-599-0542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9538483163WH1000X, 163WI0500X, 163WM0705X, 163WP0200X, 163WS0200X, 163WW0000X, 376K00000X, 163WX1500X, 372600000X, 374U00000X, 163WH0200X
DE9538483163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No376K00000XNursing Service Related ProvidersNurse's Aide
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide