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Individual

TENILLE MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
413 S MISSISSIPPI ST, BLUE GRASS, IA 52726-9127
(563) 381-2180
Mailing address
2153 205TH ST, BENNETT, IA 52721-9633
15638890198

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A123628
IA

Other

Enumeration date
06/26/2017
Last updated
04/28/2021
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