MS. SALLY JANE MUICH NP NPI 1063515385

NPI Information

  • NPI: 1063515385
  • Provider Name: MS. SALLY JANE MUICH, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 180 S 3RD ST
    300
    BELLEVILLE, IL
    ZIP 62220
  • Phone: (618) 233-5480

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NPI Details

MS. Sally Jane Muich, NP is a gerontology nurse practitioner in Belleville, IL. MS. Sally Jane Muich, NP NPI is 1063515385. 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:

180 S 3RD ST
300
BELLEVILLE, IL
ZIP 62220-952
Phone: (618) 233-5480
Fax: (618) 222-4972

The enumeration date for this NPI number is 9/6/2006 and was last updated on 11/28/2012.

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
1163WG0600XRegistered NurseGerontology099684MISSOURINo
2363LG0600XNurse PractitionerGerontology209006132ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P68319MEDICARE UPINMISSOURI

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: 11/21/2025

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