Individual
TIFFANY NANNETTE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
Mailing address
2338 KUYKENDALL, GEORGETOWN, TX 78626-8182
(936) 554-8954
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1087110
TX
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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