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Individual

BEVERLY L MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1615 SW 8TH AVE, TOPEKA, KS 66606-1633
(785) 861-8800
(785) 478-5991
Mailing address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
137243
MO
363LF0000X
Family Nurse Practitioner
Primary
53-77830
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255372710
MO
05
425863305
MO
Enumeration date
06/08/2006
Last updated
07/21/2022
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