Individual
SHALENE L. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4616 N 51ST AVE, PHOENIX, AZ 85031-1716
(602) 508-4447
(602) 508-4492
Mailing address
4616 N 51ST AVE, PHOENIX, AZ 85031-1716
(602) 685-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
252285
AZ
Other
Enumeration date
06/25/2025
Last updated
08/15/2025
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