| Doctor Name: | MS. SUSAN T. MILLER |
| NPI Number: | 1528045457 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.R.N.,B.C. |
| License Number: | 1953014405 |
| Business Practice Address: | 3809 W 6200 S Kearns, UT - 841183725 |
| Business Phone Number: | 8019634213 |
| Business Fax Number: | 8019634299 |
| Mailing Address: | 2528 Dearborn St, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841063512 |
| Phone Number: | 8014665978 |
| Fax Number: | |
| NPI Enumeration Date: | 12/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 1953014405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |