Doctor Name: | KATHERINE MARIE MILLER |
NPI Number: | 1023487436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 102895 |
Business Practice Address: | 3500 Sw Frank Phillips Bartlesville, OK - 74006 |
Business Phone Number: | 9187661699 |
Business Fax Number: | |
Mailing Address: | 1923 S Utica Ave, TULSA |
State: | OK |
Postal Code: | 741046520 |
Phone Number: | 9187443528 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2015 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 102895 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |