Individual
HEATHER LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1603 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3826
(636) 332-8228
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011003712
MO
363LF0000X
Family Nurse Practitioner
Primary
2016033642
MO
Other
Enumeration date
05/10/2017
Last updated
09/30/2025
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