Individual
ANDREA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 293-0052
(574) 293-3744
Mailing address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 293-0052
(574) 293-3744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28231791A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71006963A
IN
Other
Enumeration date
02/01/2017
Last updated
11/03/2023
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