Individual
LISA ANN MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5456 15 MILE RD, SUITE 101, STERLING HEIGHTS, MI 48310-5110
(586) 977-7246
Mailing address
37 SYLVAN AVE, PLEASANT RIDGE, MI 48069-1236
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704190395
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11015067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104547559
—
MI
05
—
116817500
—
FL
01
—
MI17092016
MI MEDICARE
MI
Enumeration date
04/26/2006
Last updated
02/03/2025
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