Individual
MARTHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN,APRN,BC,LPC
Contact information
Practice address
400 MARINER'S BLVD, MANDEVILLE, LA 70448
(985) 264-8756
Mailing address
7 JACQUELINE CT, MANDEVILLE, LA 70471-1548
(985) 264-8756
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN030153
LA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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