Individual
MS. PAULETTE MARIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP MSN ONC
Contact information
Practice address
725 IRVING AVE, ROOM 115, SYRACUSE, NY 13210-1603
(315) 470-2782
Mailing address
338 JAMESVILLE AVE, APT 4P, SYRACUSE, NY 13210-3273
(315) 479-7097
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3028601
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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