Individual
ERIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 MALLARD CREEK RD STE 300, LOUISVILLE, KY 40207-5136
(502) 855-6130
(502) 394-1968
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9378
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017749
KY
363LF0000X
Family Nurse Practitioner
APN0000011679
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300065132
—
IN
05
—
7100836800
—
KY
01
—
K396770
MEDICARE
KY
Enumeration date
09/20/2006
Last updated
10/14/2024
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