Provider Demographics
NPI:1811873367
Name:MUELLER, HEIDI LYNN (MSN, APRN, ACCNS-AG)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:LYNN
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MSN, APRN, ACCNS-AG
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:LYNN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 34TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-3025
Mailing Address - Country:US
Mailing Address - Phone:330-309-3441
Mailing Address - Fax:
Practice Address - Street 1:1077 GORGE BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2408
Practice Address - Country:US
Practice Address - Phone:330-375-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH393215364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care