Basic Information
Provider Information
NPI: 1831573542
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MULLER
FirstName: CHRISTINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
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Mailing Information
Address1: 601 5TH ST S
Address2: DEPT #6500002705
City: ST PETERSBURG
State: FL
PostalCode: 337014804
CountryCode: US
TelephoneNumber: 7277673051
FaxNumber: 7277674970
Practice Location
Address1: 501 6TH AVE S
Address2: DEPT #6580070408
City: ST PETERSBURG
State: FL
PostalCode: 337014634
CountryCode: US
TelephoneNumber: 7277678480
FaxNumber: 7277678420
Other Information
ProviderEnumerationDate: 07/13/2015
LastUpdateDate: 08/11/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200XARNP929920FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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