Individual
COURTNEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7875 GRAND BLVD, HOBART, IN 46342-6665
(219) 942-9658
Mailing address
PO BOX 153, BEDFORD PARK, IL 60499-0153
(219) 942-9658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71008756A
NP LICENSE
IN
Enumeration date
01/07/2019
Last updated
02/14/2019
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