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Individual
M. ANNIE MULLER
Active
Individual
M. ANNIE MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP/APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2583
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-2935692-062
BCBS
SC
01
—
20-2935692-063
BCBS
SC
01
—
226111
MEDCOST
SC
01
—
AA47218552
MEDICARE PTAN
SC
05
—
NP1556
—
SC
Enumeration date
11/10/2005
Last updated
04/13/2010
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