Ashley Brianne Mueller

Individual provider Active NPI Family Nurse Practitioner · West Haven, UT

NPI 1992555239 · NPPES record last updated Mar 26, 2024

Key facts

NPI
1992555239
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
79908704405 (UT)
Practice address
3384 W 4600 S Ste 3
West Haven, UT 84401-9222
Phone
(801) 317-4060
NPI assigned
Mar 26, 2024
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

State licenses

LicenseStateTypeSpecialty
79908704405UTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79908704405 UT Yes

Addresses

Primary practice location

3384 W 4600 S Ste 3
West Haven, UT 84401-9222

Mailing address

2453 Tyler Ave
Ogden, UT 84401-2832
Phone (801) 648-0483

Other providers in West Haven, UT

All providers in West Haven, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.