Individual
LEAH J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
923 ELIZA ST, GREEN BAY, WI 54301-3234
(920) 965-4800
(920) 965-4801
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222517
WI
363LF0000X
Family Nurse Practitioner
Primary
8545
WI
Other
Enumeration date
07/30/2018
Last updated
12/03/2020
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