Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 47991 | CO |
N | 208000000X | Pediatrician | DR.0047991 | CO |
NPI | 1003070400 |
---|---|
Provider Name | Claire Mueller |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80205-5422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 14/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020928 | KAISER COMMERCIAL NUMBER (01) | CO |
49803786 | (05) | CO |