Basic Information
| Provider Information | |||||||||
| NPI: | 1982942728 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUELLER | ||||||||
| FirstName: | HILLARY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8980 ZACHARY LN N | ||||||||
| Address2: | |||||||||
| City: | MAPLE GROVE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553694018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6128611688 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8980 ZACHARY LN N | ||||||||
| Address2: | |||||||||
| City: | MAPLE GROVE | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553694018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727881858 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2013 | ||||||||
| LastUpdateDate: | 03/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 8276 | MN | N | Nursing Service Providers | Registered Nurse | 163W00000X | 2490031 | MN | N | Nursing Service Providers | Registered Nurse | 163WP0200X | 750322 | TX | N | Nursing Service Providers | Registered Nurse | Pediatrics | 163WP0200X | 8276 | MN | N | Nursing Service Providers | Registered Nurse | Pediatrics | 363LP0200X | 8276 | MN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics | 363LP0200X | 750322 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics | 363LP0200X | AP122297 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics | 163WP0807X | 2490031 | MN | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Child & Adolescent |
No ID Information.