Individual
MS. RUTH MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
354 BIRNIE AVE, SPRINGFIELD, MA 01107-1108
(413) 734-2000
(413) 734-8000
Mailing address
70 POCASSET AVE, WORCESTER, MA 01606-1806
(617) 688-1617
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
244176
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500027027
RAIL ROAD MEDICARE
MA
01
—
83-01277
EVERCARE
MA
Enumeration date
07/11/2006
Last updated
11/30/2012
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