Individual
NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 OLD SHORT HILLS RD STE 217, WEST ORANGE, NJ 07052-1091
(973) 731-4600
Mailing address
101 OLD SHORT HILLS RD STE 217, WEST ORANGE, NJ 07052-1091
(973) 731-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00711100
NJ
363AS0400X
Surgical Physician Assistant
085.005288
IL
Other
Enumeration date
11/04/2014
Last updated
08/20/2024
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