Individual
MS. BONNIE LEWIS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. BSN
Contact information
Practice address
16703 ASHTON AVE, DETROIT, MI 48219-4144
(313) 538-7222
Mailing address
16703 ASHTON AVE, DETROIT, MI 48219-4144
(313) 538-7222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704073195
MI
163WL0100X
Lactation Consultant (Registered Nurse)
4704073195
MI
163WM0102X
Maternal Newborn Registered Nurse
Primary
4704073195
MI
163WN0003X
Low-Risk Neonatal Registered Nurse
4704073195
MI
163WP1700X
Perinatal Registered Nurse
4704073195
MI
163WW0101X
Ambulatory Women's Health Care Registered Nurse
4704073195
MI
174H00000X
Health Educator
4704073195
MI
374J00000X
Doula
4704073195
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704073195
REGISTERED NURSE LICENSE NUMBER
MI
Enumeration date
11/23/2009
Last updated
01/14/2010
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