Individual
CYNTHIA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W4949 STREIM LANE, JEFFERSON, WI 53549
(920) 674-2569
Mailing address
W4949 STREIM LANE, JEFFERSON, WI 53549
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
87929-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38314000
RN
WI
Enumeration date
04/20/2006
Last updated
07/08/2007
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