Individual
SCOTT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP-BC
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-4237
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-4237
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN400813
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029664
OH
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
APRN.CNP.0029664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
ODADAS
OH
01
—
0074946
ODMH
OH
01
—
01-0693
CARF
OH
01
—
H130910
PTAN
OH
01
—
XM6683949
DATA 200 WAIVER
—
Enumeration date
11/04/2016
Last updated
09/25/2023
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