Individual
KRISTIN S MILLER
Active
Individual
KRISTIN S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001048A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71001048A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884920
—
IN
Enumeration date
04/16/2007
Last updated
06/04/2015
Update your record
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