National Provider Identifier

Susan Diane Mueller, RN CDE

Susan Diane Mueller, RN CDE is listed in the NPPES registry with a primary specialty of Diabetes Educator Registered Nurse in Ithaca, NY and a listed phone number of (607) 277-0969.

NPI 1922588128Ithaca, NYDiabetes Educator Registered Nurse

Profile Overview

NPI
1922588128
Provider Type
Individual
Primary Specialty
Diabetes Educator Registered Nurse
Enumeration Date
August 16, 2018
Last Updated
August 16, 2018

Practice Location

  • 404 N Cayuga Street
  • Ithaca, NY 14850

Phone: (607) 277-0969

Specialties

  • Diabetes Educator Registered Nurse (163WD0400X)
Full Record
NPI
1922588128
Entity Type
Individual
Last Name
Mueller
First Name
Susan
Middle Name
Diane
Credential
RN CDE
Provider Other Last Name
Haas
Provider Other First Name
Susan
Provider Other Middle Name
Diane
Provider Other Last Name Type Code
1
Mailing Street Address
404 N Cayuga Street
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 277-0969
Mailing Fax
(607) 277-3242
Practice Street Address
404 N Cayuga Street
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 277-0969
Practice Fax
(607) 277-3242
Enumeration Date
August 16, 2018
Last Updated
August 16, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diabetes Educator Registered Nurse (163WD0400X)