Individual
ANDREA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
406 N 1ST ST, VINCENNES, IN 47591-1340
(812) 882-1106
(812) 885-2758
Mailing address
406 N 1ST ST, VINCENNES, IN 47591-1340
(812) 882-1106
(812) 885-2758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200922190
—
IN
01
—
71001643A
LICENSE
IN
01
—
M400032567
MEDICARE
IN
Enumeration date
11/07/2006
Last updated
03/07/2023
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