Individual
BRIANNA L. MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
LAHEY PROVIDER ENROLLMENT DEPARTMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN282856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110107986A
—
MA
Enumeration date
02/05/2015
Last updated
09/29/2021
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