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Individual

KELLI JO MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
173 S MAIN ST, RUTLAND, VT 05701-4713
(802) 772-4165
(802) 855-8489
Mailing address
165 UNIVERSITY DR, AMHERST, MA 01002-8900
(682) 331-9534

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101.0134229
VT
363LF0000X
Family Nurse Practitioner
Primary
2345722
MA
363LF0000X
Family Nurse Practitioner
AP132850
TX
363LP2300X
Primary Care Nurse Practitioner
221431
ME
363LP2300X
Primary Care Nurse Practitioner
AP132850
TX
363LP2300X
Primary Care Nurse Practitioner
APN.0995662
CO

Other

Enumeration date
01/06/2017
Last updated
06/05/2023
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