Individual
SHELLEY P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-1597
Mailing address
2051 STADIUM LN, PROVO, UT 84604-1813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2624
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741307
—
AZ
Enumeration date
04/12/2007
Last updated
05/08/2025
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