Individual
AMY M MILLER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 141, AVON, IN 46123-6913
(317) 962-0280
(317) 962-0289
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006024A
IN
363LG0600X
Gerontology Nurse Practitioner
71006024A
IN
363LG0600X
Gerontology Nurse Practitioner
71006024B
IN
364SG0600X
Gerontology Clinical Nurse Specialist
28100292A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201341830
—
IN
Enumeration date
10/13/2015
Last updated
09/08/2022
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