Individual
REBECCA ANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
901 3RD ST N, WAITE PARK, MN 56387-1964
(320) 217-8480
Mailing address
PO BOX 235, PILLAGER, MN 56473-0235
(218) 838-6484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11038
MN
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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