Doctor Name: | DAN ASHER MILLER |
NPI Number: | 1063894731 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 9297512 |
Business Practice Address: | 2038 Se North Blackwell Dr Port Saint Lucie, FL - 349527040 |
Business Phone Number: | 7724083055 |
Business Fax Number: | |
Mailing Address: | 2038 Se North Blackwell Dr, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349527040 |
Phone Number: | 7724083055 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9297512 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |