Individual
LISA MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
USA MEDDAC, RWBAHC, 2240 WINROW AVE, FORT HUACHUCA, AZ 85650-7079
(520) 533-9162
(520) 533-5328
Mailing address
USA MEDDAC, RWBAHC, 2240 WINROW AVE, FORT HUACHUCA, AZ 85613-7079
(520) 533-9162
(520) 533-5328
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN090640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN090640
STATE BOARD OF NURSING
AZ
Enumeration date
02/23/2016
Last updated
02/23/2016
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