Individual
MARTHA MARIE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
511 N 12TH ST E, RIVERTON, WY 82501-3809
(307) 857-6685
(307) 857-6420
Mailing address
828 GARFIELD ST, LANDER, WY 82520-3028
(307) 332-3623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
66580
CO
363LF0000X
Family Nurse Practitioner
Primary
259100960
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259100960
STATE OF WYOMING BOARD OF NURSING
WY
01
—
66580
ADV PRAC RN (NP)
CO
Enumeration date
11/30/2006
Last updated
07/02/2008
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