Individual
DEBORAH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
162 LAUREL DR, HASTINGS, PA 16646-5509
(814) 312-6467
Mailing address
162 LAUREL DR, HASTINGS, PA 16646-5509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN303780L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN303780L
STATE LICENSE ISSUED
PA
Enumeration date
09/28/2017
Last updated
09/28/2017
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