Individual
AMY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 HENNESSY BLVD, BATON ROUGE, LA 70808-4300
(225) 765-7163
Mailing address
PO BOX 80093, BATON ROUGE, LA 70898-0093
(225) 765-7164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09393
LA
Other
Enumeration date
06/22/2017
Last updated
03/17/2018
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