Individual
MS. NANCY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
55 WHITCHER ST NE, SUITE 160, MARIETTA, GA 30060-1155
(770) 542-2137
Mailing address
55 WHITCHER ST NE, SUITE 160, MARIETTA, GA 30060-1155
(770) 422-1372
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R089642
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00744158C
—
GA
Enumeration date
08/30/2006
Last updated
03/03/2016
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