Individual
ALLISON ELAINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
621 S NEW BALLAS RD STE 5003B, SAINT LOUIS, MO 63141-8270
(314) 251-8892
Mailing address
2372 GLENN DR, ARNOLD, MO 63010-2231
(314) 605-2055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041452357
IL
163W00000X
Registered Nurse
143620
MO
363LF0000X
Family Nurse Practitioner
Primary
2018006687
MO
363LF0000X
Family Nurse Practitioner
209018354
IL
Other
Enumeration date
01/12/2018
Last updated
08/29/2019
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