Individual
RAE ANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
1630 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933-1092
(765) 359-2230
(765) 359-2236
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000266
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111570
—
IN
01
—
500022197
RAILROAD MEDICARE
IN
Enumeration date
09/30/2005
Last updated
01/21/2019
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