Individual
SHAWNA DEA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
423 1/2 MAIN STREET, FOWLER, KS 67844
(620) 873-2112
Mailing address
PO BOX 272, FOWLER, KS 67844-0272
(620) 646-5867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45646
KS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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