Individual
COLLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17000 E 10 MILE RD, EASTPOINTE, MI 48021-1263
(586) 563-5555
(586) 563-1778
Mailing address
41400 DEQUINDRE RD STE 121, STERLING HTS, MI 48314-3751
(586) 843-3815
(586) 843-3920
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704233398
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704233398
STATE OF MICHIGAN
MI
Enumeration date
05/18/2017
Last updated
05/16/2024
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