Individual
TRACEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6480 TECHNOLOGY AVE STE A, KALAMAZOO, MI 49009-8126
(269) 250-8009
Mailing address
6480 TECHNOLOGY AVE STE A, KALAMAZOO, MI 49009-8126
(269) 250-8009
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704202059
MI
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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