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Individual

VASHTI G MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNS, ANP-BC

Contact information

Practice address
18550 US HIGHWAY 441, STE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151
Mailing address
18550 US HIGHWAY 441, STE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9441202
FL
363LA2200X
Adult Health Nurse Practitioner
RN212631
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295030898
NPI
Enumeration date
01/13/2011
Last updated
08/12/2016
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