Individual
TANEKA AMOYA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7200
Mailing address
2736 WESTWOOD ST W, WEST FARGO, ND 58078-8532
(701) 630-2756
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202027
ND
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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