Individual
MAGGIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
12266 DEPAUL DRIVE, SUITE 205, BRIDGETON, MO 63044
(314) 218-2300
Mailing address
12266 DEPAUL DRIVE, SUITE 205, BRIDGETON, MO 63044
(314) 218-2300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2026001083
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
01/07/2026
Last updated
01/15/2026
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