Mueller, Mary Lee

Mueller, Mary Lee is an individual health care provider with primary practice located at 640 Jackson St Mail Stop 11303A, St Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mueller, Mary Lee can be contacted via phone (651) 254-4786.

Contact Information

Primary practice address
640 Jackson St Mail Stop 11303A St Paul MN 55101-2502
Phone: (651) 254-4786
Fax: (651) 228-8362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9625 Minnesota

Profile Details

NPI number 1033187661
LBN Legal business name Mueller, Mary Lee
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 4th, 2014 - about 10 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 1033187661 NPPES
Minnesota MEDICAID 255410100

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