Individual
TARA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
28720 US HIGHWAY 98 STE 1, DAPHNE, AL 36526-7268
(251) 241-4346
(251) 241-4356
Mailing address
109 PEBBLE CT, FAIRHOPE, AL 36532-6326
(251) 241-4346
(251) 241-4356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-124579
AL
363LF0000X
Family Nurse Practitioner
9299613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP NUMBER
AL
01
—
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
01/28/2010
Last updated
08/20/2025
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