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Individual

ANDREA MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-9600
Mailing address
1223 JEFFERSON ST APT 4109, KANSAS CITY, MO 64105-2405
(636) 751-2220

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5378520102
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
NA
Enumeration date
04/25/2019
Last updated
04/25/2019
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