Individual
MRS. EDIE L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2624 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-8220
(602) 304-3170
(602) 304-3182
Mailing address
2624 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-8220
(602) 304-3170
(602) 304-3182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN122146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN122146
REGISTERED NURSE LICENSE
AZ
Enumeration date
08/15/2011
Last updated
08/15/2011
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