Individual
TERESA LORELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
Mailing address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11160
AK
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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