# PRECISION HEALTH FAMILY FUNCTIONAL MEDICINE, PA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508346750
- **Authorized official:** ANNETTE BONNIE MUELLER FNP-BC (OWNER, MEDICAL DIRECTOR)
- **Authorized official phone:** (207) 219-8446

## Contact information

- **Practice address:** 10 PLAZA DR STE 203, SCARBOROUGH, ME 04074-1801
- **Practice address phone:** (207) 219-8445
- **Practice address fax:** (888) 965-0540
- **Mailing address:** 10 PLAZA DR STE 203, SCARBOROUGH, ME 04074-1801
- **Mailing address phone:** (207) 219-8445
- **Mailing address fax:** (888) 965-0540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | CNP101009 | ME | Yes |

## Other

- **Enumeration date:** 08/17/2018
- **Last updated:** 08/17/2018