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Individual
CANDICE M MILLER
Active
Individual
CANDICE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN081159
LA
363L00000X
Nurse Practitioner
AP5152
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP5152
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015857
—
LA
Enumeration date
03/23/2007
Last updated
06/17/2022
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