Individual
KATHRINE ANNETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011
(765) 298-2928
Mailing address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209008642
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28208434A
IN
367500000X
Certified Registered Nurse Anesthetist
COA.12151-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201262850
—
IN
01
—
P01824509
RR MEDICARE
IN
Enumeration date
03/25/2011
Last updated
01/30/2023
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