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Individual

MICHAELA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3235 ACADEMY AVE STE 101, PORTSMOUTH, VA 23703-3200
(757) 484-7386
Mailing address
3235 ACADEMY AVE STE 101, PORTSMOUTH, VA 23703-3200
(757) 484-7386

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA13872
TX
363AM0700X
Medical Physician Assistant
Primary
0110010088
VA

Other

Enumeration date
01/20/2020
Last updated
03/04/2025
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