Individual
MISS LISE MARY MUELLER-GOODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
16961 MOCKINGBIRD CT, CONROE, TX 77385-3723
(936) 524-4436
Mailing address
16961 MOCKINGBIRD CT, CONROE, TX 77385-3723
(936) 524-4436
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
56776
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
56776
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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