Individual
LISA LYNETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BSN, MN
Contact information
Practice address
4100 CAMPUS RIDGE DR, MIDLAND, MI 48640-6139
(989) 839-3393
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30007900
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
4704212348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0248141
LABOR & INDUSTRIES
WA
01
—
2005009787-21
WA LIC
WA
01
—
200650026NP ACNP-PP
OR LICENSE
OR
05
—
9654609
—
WA
Enumeration date
12/19/2006
Last updated
11/07/2025
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