Individual
TERRI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
21610 PACIFIC HWY, OCEAN PARK, WA 98640
(360) 665-3000
(360) 665-3096
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1114
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN00144640
WA
363LF0000X
Family Nurse Practitioner
Primary
AP300006182
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9634569
—
WA
Enumeration date
07/31/2006
Last updated
06/24/2011
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