Individual
ATHENA GABRIELLA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 NE WASHINGTON ST, WHITE SALMON, WA 98672-1826
(509) 493-1558
Mailing address
501 NE WASHINGTON ST, WHITE SALMON, WA 98672-1826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61185138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61185138
REGISTERED NURSE LICENSE
WA
Enumeration date
07/21/2022
Last updated
07/21/2022
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