Individual
SHAYLAH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 764-2620
Mailing address
100 SOUTH ST STE G08, SOUTHBRIDGE, MA 01550-4051
(508) 764-2620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2324295
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2324295
MA
Other
Enumeration date
07/23/2022
Last updated
04/26/2023
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