Provider Demographics
NPI:1770997116
Name:MULLER, REBECCA LEA (RN MS FNP-BC CIC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEA
Last Name:MULLER
Suffix:
Gender:F
Credentials:RN MS FNP-BC CIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:
Mailing Address - City:BRIDGER
Mailing Address - State:MT
Mailing Address - Zip Code:59014-0216
Mailing Address - Country:US
Mailing Address - Phone:406-672-1194
Mailing Address - Fax:
Practice Address - Street 1:2900 12TH AVE N STE 300
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7506
Practice Address - Country:US
Practice Address - Phone:406-238-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN-18569163WI0600X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control