Individual
BRENDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
300 HOFFMAN ST, ELMIRA, NY 14905-2263
(607) 734-4110
(607) 734-0344
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
320043
NY
363L00000X
Nurse Practitioner
SP012504
PA
363LF0000X
Family Nurse Practitioner
F320043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02388416
—
NY
Enumeration date
12/04/2006
Last updated
06/16/2016
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