# MR. MARK DANIEL MILLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639895691
- **Gender:** Man
- **Credential:** APRN, AGACNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | 12208 | CT | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 33688 | TN | — |
| 363LA2200X | Adult Health Nurse Practitioner | 12208 | CT | — |
| 363LG0600X | Gerontology Nurse Practitioner | 12208 | CT | — |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 03/04/2025