| Doctor Name: | VICKI LEE MUELLENBERG |
| NPI Number: | 1033238282 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | |
| Business Practice Address: | 1407 Saint Andrew St Ste 100 La Crosse, WI - 546032378 |
| Business Phone Number: | 6087856329 |
| Business Fax Number: | 6087856315 |
| Mailing Address: | 2708 Shelby Rd, LA CROSSE |
| State: | WI |
| Postal Code: | 546018042 |
| Phone Number: | 6087870214 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |