Individual
NICHOLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4640 MARALDO AVE, NORTH PORT, FL 34287-2831
(941) 429-1111
Mailing address
4640 MARALDO AVE, NORTH PORT, FL 34287-2831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9423710
FL
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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