Individual
TIFFANY ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
(715) 847-2775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9477
WI
363LF0000X
Family Nurse Practitioner
9477-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9477-33
APRN LICENSE
WI
Enumeration date
08/05/2019
Last updated
11/04/2022
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