Individual
AMANDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(954) 939-7584
Mailing address
2659 GREEN MEADOW LN NE, MARIETTA, GA 30066-5648
(770) 875-3347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000200179
TN
163W00000X
Registered Nurse
RN212795
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9453318
FL
Other
Enumeration date
10/27/2016
Last updated
02/23/2018
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