Zazi Muller

Individual provider Active NPI Midwife · Brandywine, WV

NPI 1043766033 · NPPES record last updated Aug 30, 2016

Key facts

NPI
1043766033
Entity type
Individual (NPI type 1)
Primary specialty
Midwife 176B00000X
Practice address
2590 Mill Gap Rd
Brandywine, WV 26802-8656
Phone
(501) 282-5402
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Yes

Addresses

Primary practice location

2590 Mill Gap Rd
Brandywine, WV 26802-8656

Mailing address

2590 Mill Gap Rd
Brandywine, WV 26802-8656
Phone (501) 282-5402

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 30, 2016.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1043766033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 MILL GAP RD",
            "city": "BRANDYWINE",
            "state": "WV",
            "postal_code": "268028656",
            "telephone_number": "501-282-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 MILL GAP RD",
            "city": "BRANDYWINE",
            "state": "WV",
            "postal_code": "268028656",
            "telephone_number": "501-282-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "ZAZI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, WV

All providers in Brandywine, WV · Midwife in West Virginia

Sources for this page

Verify at the official NPI Registry.