Individual
CARMEN L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981-1941
(715) 256-3000
(715) 256-3079
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159127
WI
363LF0000X
Family Nurse Practitioner
Primary
8238
WI
Other
Enumeration date
11/14/2017
Last updated
02/19/2018
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