Berra Mueller, Jean

Berra Mueller, Jean is an individual health care provider with primary practice located at 3844 S Lindbergh Blvd Ste. 120, Saint Louis MO 63127-1368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Berra Mueller, Jean can be contacted via phone (314) 525-0490.

Contact Information

Primary practice address
3844 S Lindbergh Blvd Ste. 120 Saint Louis MO 63127-1368
Phone: (314) 525-0490
Fax: (314) 525-0434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 100600 Missouri

Profile Details

NPI number 1205947173
LBN Legal business name Berra Mueller, Jean
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 5th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205947173 NPPES
Missouri MEDICAID 425802808

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