Individual
DONNA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
332571
NY
363L00000X
Nurse Practitioner
Primary
4023-33
WI
363L00000X
Nurse Practitioner
F303304
NY
Other
Enumeration date
03/29/2007
Last updated
09/01/2010
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