Individual
MS. COURTNEY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1707 CLOVER HILL RD, MANSFIELD, TX 76063-4035
(817) 456-8798
Mailing address
1707 CLOVER HILL RD, MANSFIELD, TX 76063-4035
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1033454
TX
363LA2200X
Adult Health Nurse Practitioner
1033454
TX
363LG0600X
Gerontology Nurse Practitioner
1033454
TX
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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