Individual
MS. GERALDINE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 KIOWA ST, LEAVENWORTH, KS 66048-1249
(913) 364-4740
Mailing address
1340 KIOWA ST, LEAVENWORTH, KS 66048-1249
(913) 364-4740
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
230278
NC
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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