Individual
DIANE MARY MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
089766
MO
363L00000X
Nurse Practitioner
Primary
104274
MT
363L00000X
Nurse Practitioner
990307
CO
363LF0000X
Family Nurse Practitioner
45806
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100344220B
—
KS
05
—
1437185329
—
MT
05
—
1437185329
—
NE
05
—
1760794481
—
ID
05
—
30422558
—
CO
05
—
424669018
—
MO
05
—
71581570
—
NM
Enumeration date
06/23/2006
Last updated
08/22/2017
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