Individual
MS. BRENDA R. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
326 N HOOD ST, LAKE PROVIDENCE, LA 71254-2140
(318) 559-4900
(318) 559-1772
Mailing address
326 N HOOD ST, LAKE PROVIDENCE, LA 71254-2140
(318) 559-4900
(318) 559-1772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03684
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437565
—
LA
Enumeration date
11/08/2005
Last updated
10/16/2019
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