# SHELLY D MILLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942615745
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN60331698 | WA | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN60331698 | WA | Yes |

## Other

- **Enumeration date:** 07/01/2014
- **Last updated:** 07/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RN60331698 | RN LICENSE | WA |
