Individual
MS. SUSAN T. MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.P.R.N.,B.C.
Contact information
Practice address
3809 W 6200 S, KEARNS, UT 84118-3725
(801) 963-4213
(801) 963-4299
Mailing address
2528 DEARBORN ST, SALT LAKE CITY, UT 84106-3512
(801) 466-5978
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1953014405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104502
U005
UT
01
—
107002817101
U006
UT
01
—
262112
U002
UT
Enumeration date
12/30/2005
Last updated
07/08/2007
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