Provider Demographics
NPI:1811084296
Name:MULLER, ROBERT LYNN (MSN RN FNP-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LYNN
Last Name:MULLER
Suffix:
Gender:M
Credentials:MSN RN FNP-C
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Mailing Address - Street 1:PO BOX 4046
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65808-4046
Mailing Address - Country:US
Mailing Address - Phone:417-269-5712
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:3801 S NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5210
Practice Address - Country:US
Practice Address - Phone:417-269-7728
Practice Address - Fax:417-269-7729
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2018-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO097288363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
482077OtherHEALTHLINK
MO152389OtherBLUE CROSS BLUE SHIELD
AR150341758Medicaid
500024442OtherRAILROAD MEDICARE
MO425717006Medicaid