Individual
TIFFANY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17144 BRISTOL HWY, BRISTOL, VA 24202-6561
(276) 494-9761
Mailing address
17144 BRISTOL HWY, BRISTOL, VA 24202-6561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001265328
VA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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