Provider Demographics
NPI:1780670232
Name:MUELLER, RACHELLE MARIE (NP)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:MARIE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3268 VIA ENSENADA
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-6970
Mailing Address - Country:US
Mailing Address - Phone:805-544-3267
Mailing Address - Fax:805-544-3267
Practice Address - Street 1:3268 VIA ENSENADA
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-6970
Practice Address - Country:US
Practice Address - Phone:805-544-3267
Practice Address - Fax:805-544-3267
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN301355163WX0003X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient