Individual
HEATHER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2116 MEGAN DRIVE, SUITE 102, CAPE GIRARDEAU, MO 63701
(573) 335-7546
(573) 335-7550
Mailing address
2116 MEGAN DRIVE, 102, CAPE GIRARDEAU, MO 63701-1727
(573) 335-7546
(573) 335-7550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009034583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396072120
—
MO
Enumeration date
11/16/2009
Last updated
02/04/2015
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