MISS LISE MARY MUELLER-GOODRUM BSN RN NPI 1285117861

NPI Information

NPI: 1285117861
Provider Name: MISS LISE MARY MUELLER-GOODRUM, BSN, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
16961 MOCKINGBIRD CT
CONROE, TX
ZIP 77385
Phone: (936) 524-4436
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MISS Lise Mary Mueller-goodrum, BSN, RN is a home health registered nurse in Conroe, TX. MISS Lise Mary Mueller-goodrum, BSN, RN NPI is 1285117861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16961 MOCKINGBIRD CT
CONROE, TX
ZIP 77385-723
Phone: (936) 524-4436

The enumeration date for this NPI number is 9/10/2018 and was last updated on 9/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	56776	TEXAS	No
2	163WH0200X	Registered Nurse	Home Health	56776	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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