Individual
ELAINE MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
5506 N SHORE CT, MADISON LAKE, MN 56063-9521
(507) 934-2207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 073230-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562312000
—
MN
Enumeration date
10/27/2006
Last updated
12/15/2010
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