Individual
MRS. REBECCA JANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 590-1000
(215) 590-5326
Mailing address
3400 CIVIC CENTER BLVD, 8C09D, PHILADELPHIA, PA 19104-5127
(215) 590-1000
(215) 590-5326
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP010474
PA
Other
Enumeration date
10/05/2009
Last updated
10/29/2012
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