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Individual
MRS. K. PATRICIA MILLER DERAJTYS
Active
Individual
MRS. K. PATRICIA MILLER DERAJTYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0840
—
SC
Enumeration date
03/07/2006
Last updated
03/22/2013
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