Individual
CAROL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
615 PINE ST, PORT HURON, MI 48060-5400
(810) 989-0000
(810) 989-5266
Mailing address
46326 SAWYER LN, MACOMB, MI 48044-6218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704255335
MI
Other
Enumeration date
12/29/2018
Last updated
12/14/2022
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