Individual
ANISSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113-4088
(702) 761-6567
Mailing address
7455 ARROYO CROSSING PKWY STE 220, LAS VEGAS, NV 89113-4088
(702) 761-6567
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
NV
Enumeration date
12/30/2018
Last updated
12/30/2018
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