Individual
DEBRA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4540 E BASELINE RD, SUITE 108, MESA, AZ 85206-4613
(480) 892-3880
Mailing address
952 W NATAL AVE, MESA, AZ 85210-7652
(480) 491-0507
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN102307
AZ
Other
Enumeration date
03/30/2006
Last updated
07/10/2007
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