Individual
SUSAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
89 SPARTA AVE, SPARTA, NJ 07871-1777
(973) 971-5595
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-5595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NO10082200
NJ
Other
Enumeration date
05/11/2006
Last updated
08/24/2007
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