Individual
MRS. KAITLIN HARRIS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
176 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2493
(318) 445-9331
(318) 619-6899
Mailing address
PO BOX 13030, ALEXANDRIA, LA 71315-3030
(318) 445-9331
(318) 619-6899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06082
LA
363LA2200X
Adult Health Nurse Practitioner
TAP002208
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811297
—
LA
Enumeration date
11/05/2009
Last updated
09/28/2020
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