Individual
MRS. DEBORAH ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
525 JACK MARTIN BLVD, BRICK, NJ 08724-7737
(732) 840-1020
Mailing address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(609) 971-3500
(609) 971-3545
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
043889P15
NJ
363LA2200X
Adult Health Nurse Practitioner
26NC07713800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996504
—
NJ
Enumeration date
11/29/2005
Last updated
06/24/2022
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