Individual
NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-7190
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-7190
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
PENDING
KS
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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