Individual
LISA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7000
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7000
(757) 668-7888
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
0001140804
VA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
0024190067
VA
Other
Enumeration date
05/31/2022
Last updated
04/28/2026
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