Individual
MRS. MARY KATHLEEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNM, APRN
Contact information
Practice address
3511 5TH AVE N, SAINT PETERSBURG, FL 33713-7501
(727) 895-2300
Mailing address
13300 GULF BLVD APT C, MADEIRA BEACH, FL 33708-2502
(407) 716-9229
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP3211042
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP3211042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401731
—
FL
Enumeration date
03/12/2007
Last updated
06/15/2021
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