Individual
KELLI NIRA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10303 RIVERBURN DR, TAMPA, FL 33647-3164
(813) 952-8701
Mailing address
10303 RIVERBURN DR, TAMPA, FL 33647-3164
(813) 952-8701
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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