Individual
MICHELLE A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
158 E MAIN ST, PENDLETON, SC 29670-1306
(864) 502-8674
Mailing address
158 E MAIN ST, PENDLETON, SC 29670-1306
(864) 502-8674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
24335
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24335
SC
Other
Enumeration date
10/07/2020
Last updated
12/02/2024
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