Individual provider · Type 1 NPI

Sally Jane Muich, NP

Gerontology Nurse Practitioner · Belleville, IL

NPI number 1063515385 Active

Practice location

180 S 3rd St, 300
Belleville, IL 62220-1952

Fax (618) 222-4972

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse 163WG0600X099684 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X209006132 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1063515385

Sally Jane Muich, NP's National Provider Identifier is 1063515385, issued on Sep 6, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Belleville, IL. The record was last updated on Nov 28, 2012.