Individual
DANIELLE MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 NORTH CHESTNUT, BREESE, IL 62230
(618) 975-3781
Mailing address
604 N CHESTNUT ST, BREESE, IL 62230-1306
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.111702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18088216
—
IL
Enumeration date
01/20/2017
Last updated
01/20/2017
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