Doctor Name: | LISA MILLER |
NPI Number: | 1932171329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 213928 |
Business Practice Address: | 338 Montague City Rd Turners Falls, MA - 013761830 |
Business Phone Number: | 4137723748 |
Business Fax Number: | |
Mailing Address: | 338 Montague City Rd, TURNERS FALLS |
State: | MA |
Postal Code: | 013761830 |
Phone Number: | 4137723748 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 213928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |