Provider Demographics
NPI:1356780613
Name:MUELLER, HEATHER ANNE (NPP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANNE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:NPP
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Other - Credentials:
Mailing Address - Street 1:900 BROADWAY
Mailing Address - Street 2:RE: RYAN SULTAN MD
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:646-893-8935
Mailing Address - Fax:815-377-2416
Practice Address - Street 1:900 BROADWAY
Practice Address - Street 2:RE: RYAN SULTAN MD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:646-893-8935
Practice Address - Fax:815-377-2416
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY401618363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health