Individual
GINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 W BRIDGE ST STE B-5, PHOENIXVILLE, PA 19460-4342
(610) 415-9301
(610) 415-9301
Mailing address
1432 MARTIN ST, EAST EARL, PA 17519-9270
(484) 364-9294
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN553609
PA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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