Individual
SUSAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3303 TREMONT AVE, DAVENPORT, IA 52803-1326
(563) 508-5540
Mailing address
3303 TREMONT AVE, DAVENPORT, IA 52803
(563) 508-5540
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
092045
IA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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