Provider Demographics
NPI:1902431810
Name:MUELLER, DENAYER
Entity Type:Individual
Prefix:
First Name:DENAYER
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 NW 38TH DR
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4473
Mailing Address - Country:US
Mailing Address - Phone:954-682-2132
Mailing Address - Fax:
Practice Address - Street 1:1451 W CYPRESS CREEK RD STE 300
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1953
Practice Address - Country:US
Practice Address - Phone:954-477-8023
Practice Address - Fax:360-282-1006
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185880363LP0808X
WAAP61265004363LP0808X
WY49035363LP0808X
COC-RXN.0101371-C-NP363LP0808X
IL277.002613363LP0808X
KY3018532363LP0808X
MECNP241108363LP0808X
MN9236363LP0808X
OH32770363LP0808X
NE113980363LP0808X
FLAPRN11002402363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health