Individual
AMY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
717 W MORELAND BLVD, WAUKESHA, WI 53188-2432
(262) 542-9100
Mailing address
N67W28710 LONGVIEW ST, HARTLAND, WI 53029-9657
(224) 456-5364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10828-33
WI
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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