Individual
MRS. HAYLEE KAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
7705 BERRENDA DR, FORT WORTH, TX 76131-5159
(417) 213-1626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
913230
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140172
TX
Other
Enumeration date
10/08/2018
Last updated
01/22/2019
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