Individual
TABITHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N JOHNSON RD, MOORESVILLE, IN 46158-5504
(317) 831-9033
Mailing address
302 N JOHNSON RD, MOORESVILLE, IN 46158-5504
(317) 831-9033
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
28193589A
IN
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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