Doctor Name: | MS. GERALDINE MARIE MILLER |
NPI Number: | 1073842043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 230278 |
Business Practice Address: | 1340 Kiowa St Leavenworth, KS - 660481249 |
Business Phone Number: | 9133644740 |
Business Fax Number: | |
Mailing Address: | 1340 Kiowa St, LEAVENWORTH |
State: | KS |
Postal Code: | 660481249 |
Phone Number: | 9133644740 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2009 |
NPI Last Update Date: | 12/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 230278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |