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Individual

MRS. MARCIA K MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
34509 9TH AVE SO #200, FEDERAL WAY, WA 98003-8708
(253) 927-4777
(253) 927-6580
Mailing address
34509 9TH AVE SO #200, FEDERAL WAY, WA 98003-8708
(253) 927-4777
(253) 927-6580

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006545
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9639246
WA
01
P00109684
RR MEDICARE
WA
Enumeration date
10/02/2006
Last updated
07/08/2007
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