Individual
JEAN BERRA MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
3844 S LINDBERGH BLVD, STE. 120, SAINT LOUIS, MO 63127-1368
(314) 525-0490
(314) 525-0434
Mailing address
3844 S LINDBERGH BLVD STE 120, SAINT LOUIS, MO 63127-1369
(314) 525-0490
(314) 525-0434
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
100600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425802808
—
MO
Enumeration date
08/31/2006
Last updated
02/05/2021
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