Individual
SHEILA DIANE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1015 S COMMERCE ST, ARDMORE, OK 73401-5018
(580) 221-5603
(580) 221-5648
Mailing address
1015 S COMMERCE ST, ARDMORE, OK 73401-5018
(580) 221-5603
(580) 221-5648
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R0086060
OK
363LF0000X
Family Nurse Practitioner
Primary
R0086060
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612420A
—
OK
01
—
460841ZME3
MEDICARE
OK
01
—
R0086060
STATE LICENSE
OK
Enumeration date
10/06/2015
Last updated
03/07/2023
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