Provider Demographics
NPI:1700289576
Name:MULLER, SADIE FAYE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SADIE
Middle Name:FAYE
Last Name:MULLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9250 N 3RD ST
Mailing Address - Street 2:SUITE 4010
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2437
Mailing Address - Country:US
Mailing Address - Phone:602-633-3838
Mailing Address - Fax:
Practice Address - Street 1:7373 N SCOTTSDALE RD STE A178
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3550
Practice Address - Country:US
Practice Address - Phone:855-776-7266
Practice Address - Fax:602-336-7699
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5837363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ954663Medicaid
AZ5837OtherARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS