Individual
SUSAN DIANE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
404 N CAYUGA STREET, ITHACA, NY 14850
(607) 277-0969
(607) 277-3242
Mailing address
404 N CAYUGA STREET, ITHACA, NY 14850
(607) 277-0969
(607) 277-3242
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
671617
NY
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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