Individual
BROCK MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10590 N MERIDIAN ST STE 105, CARMEL, IN 46290-1028
(317) 583-7800
Mailing address
10590 N MERIDIAN ST STE 105, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28239739C
IN
363L00000X
Nurse Practitioner
71015364A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71015364A
IN
Other
Enumeration date
04/30/2024
Last updated
12/05/2024
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