Individual
CAROL A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1043 N 1000 W, LINTON, IN 47441-5281
(812) 847-4481
(812) 847-0197
Mailing address
1043 N 1000 W, LINTON, IN 47441-5281
(812) 847-4481
(812) 847-0197
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000159A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200479400
—
IN
Enumeration date
05/04/2007
Last updated
09/12/2013
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