Doctor Name: | LINDA MILLER |
NPI Number: | 1245350008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 4704106406 |
Business Practice Address: | 1 William Carls Dr Commerce Township, MI - 483822201 |
Business Phone Number: | 2489373300 |
Business Fax Number: | |
Mailing Address: | 1 William Carls Dr Hvh, COMMERCE TWP. |
State: | MI |
Postal Code: | 48382 |
Phone Number: | 2489375057 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 4704106406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |