Wallmueller, Ilene

Wallmueller, Ilene is an individual health care provider with primary practice located at 2312 N Nevada Ave Ste 235 , Colorado Springs CO 80907-5312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wallmueller, Ilene can be contacted via phone (719) 571-8840.

Contact Information

Primary practice address
2312 N Nevada Ave Ste 235 Colorado Springs CO 80907-5312
Phone: (719) 571-8840
Fax: (719) 571-8845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP748022 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0993189-NP Colorado

Profile Details

NPI number 1922000827
LBN Legal business name Wallmueller, Ilene
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 20th, 2017 - about 7 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 1922000827 NPPES
Florida MEDICAID 303423200

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