Doctor Name: | NICOLE M MILLER |
NPI Number: | 1033466149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A-093393 |
Business Practice Address: | 701 10th St Se Cedar Rapids, IA - 524031251 |
Business Phone Number: | 3193638303 |
Business Fax Number: | |
Mailing Address: | 701 10th St Se, CEDAR RAPIDS |
State: | IA |
Postal Code: | 524031251 |
Phone Number: | 3193638303 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-093393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |