Individual
MRS. JUDITH BARBARA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3114 SHERMAN PARC CIRCLE, JACKSON, WI 53037
(262) 677-8521
Mailing address
6339 GLEN CT, WEST BEND, WI 53095-9112
(262) 629-5389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80525030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39833500
—
WI
Enumeration date
02/27/2007
Last updated
07/08/2007
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