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Individual

SUZANNA P. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
187 MILLBURN AVE, MILLBURN, NJ 07041-1847
(973) 467-1466
(973) 467-1422
Mailing address
187 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041-1847
(973) 467-1466
(973) 467-1422

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200360053CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00388600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8052835
NC
05
NAN765
SC
Enumeration date
06/27/2006
Last updated
09/24/2012
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