Individual
MISS NORDRA A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17210 133RD AVE APT 9F, JAMAICA, NY 11434-3920
(718) 864-2642
Mailing address
17210 133RD AVE APT 9F, JAMAICA, NY 11434-3920
(718) 864-2642
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
760604
NY
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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