Individual
KAYLA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
415 N 26TH ST, LAFAYETTE, IN 47904
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003667A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000865013
ANTHEM PROVIDER NUMBER
IN
05
—
201037910
—
IN
Enumeration date
09/27/2011
Last updated
01/27/2021
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