Doctor Name: | CLARA MAY MILLER |
NPI Number: | 1013148295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 041118829 |
Business Practice Address: | 1025 Bonnie Brae Pl River Forest, IL - 603051513 |
Business Phone Number: | 7083668119 |
Business Fax Number: | |
Mailing Address: | 1025 Bonnie Brae Pl, RIVER FOREST |
State: | IL |
Postal Code: | 603051513 |
Phone Number: | 7083668119 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2009 |
NPI Last Update Date: | 08/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 041118829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |