Individual
ATHALIE JOY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 640-5500
Mailing address
22807 59TH AVE W, MOUNTLAKE TERRACE, WA 98043-3703
(206) 890-7954
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN60170200
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61581847
WA
Other
Enumeration date
07/27/2023
Last updated
11/01/2024
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