Individual
LEANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
PO BOX 13888, ROANOKE, VA 24038-3888
(540) 266-9306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN164630
GA
367500000X
Certified Registered Nurse Anesthetist
0024169419
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN164630
GA
Other
Enumeration date
03/18/2011
Last updated
10/07/2024
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