Individual
MS. TAHISHA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2632
(703) 776-2623
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001229869
VA
163W00000X
Registered Nurse
RN 1018451
DC
163W00000X
Registered Nurse
RN201951
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075220900
—
DC
05
—
1447595350
—
VA
Enumeration date
12/04/2012
Last updated
10/02/2013
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