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Individual

MS. KRISTEN M MCMANUS-MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
411 OAK ST., ATTN CREDENTIALS, CINCINNATI, OH 45219
(513) 984-1800
(513) 984-4909
Mailing address
EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIRCLE, FORT CARSON, CO 80913
(719) 524-0200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN 974
HI
363LF0000X
Family Nurse Practitioner
974
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12D0874687
CLIA
HI
01
PENDING
HMSA
HI
05
PENDING
HI
Enumeration date
02/19/2007
Last updated
03/28/2018
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