Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 4230P | KY |
Y | 363LP2300X | Nurse Practitioner - Primary Care | APN8107 | TN |
NPI | 1073515136 |
---|---|
Provider Name | Cecile Anne Marie Muller |
First Address | Cookeville, TN 38501-0924 |
Second Address | Cookeville, TN 38501-4338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 23/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3348262 | (05) | TN |
4028406 | BLUE CROSS (01) | TN |
MM0840137 | DEA (01) | TN |
P55269 | (02) | |
TN01H4 | JOHN DEERE (01) | TN |