| Doctor Name: | BEVERLY L MILLER |
| NPI Number: | 1255372710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 137243 |
| Business Practice Address: | 301 Theresa St Cuba, MO - 654531636 |
| Business Phone Number: | 5736772006 |
| Business Fax Number: | 5736772068 |
| Mailing Address: | Po Box 502852, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631502852 |
| Phone Number: | 3143644200 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 137243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |