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Individual
ANDREA MICHELLE MILLER
Active
Individual
ANDREA MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN194038
GA
363LP0200X
Pediatric Nurse Practitioner
RN194038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125590A
—
GA
01
—
DN4827
RAILROAD MEDICARE
GA
05
—
NP2496
—
SC
01
—
P01076503
RAILROAD MEDICARE
GA
Enumeration date
06/26/2012
Last updated
02/25/2014
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