Muller, Blake Cullom

Muller, Blake Cullom is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr Anesthesia Department, Hammond LA 70403-1434. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Muller, Blake Cullom can be contacted via phone (985) 230-2198.

Contact Information

Primary practice address
15790 Paul Vega Md Dr Anesthesia Department Hammond LA 70403-1434
Phone: (985) 230-2198
Fax: (985) 230-2173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA223081 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP00000 Louisiana
Nursing Service Providers / Registered Nurse 163W00000X RN124467 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.25259 South Carolina

Profile Details

NPI number 1922345446
LBN Legal business name Muller, Blake Cullom
Credentials R.N. / C.R.N.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Apr 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922345446 NPPES
Louisiana MEDICAID PENDING

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