Individual
ANGELA JOY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
211 J B WISE PL, WATERTOWN, NY 13601-2507
(615) 322-4400
Mailing address
26 EDWARDS ST, FORT NOVOSEL, AL 36362-2220
(516) 840-0159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
274367
TN
163W00000X
Registered Nurse
976214
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
37219
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406910
NY
Other
Enumeration date
08/27/2024
Last updated
06/30/2025
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