Individual
MS. GINA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1020 MAIN ST, HACKBERRY, LA 70645-3303
(337) 788-1081
(337) 788-1083
Mailing address
1020 MAIN ST, HACKBERRY, LA 70645-3303
(337) 788-1081
(337) 788-1083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04570
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780944
—
LA
Enumeration date
07/06/2006
Last updated
08/21/2017
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