Individual
DAVID B MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 279-6506
(812) 275-1268
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28144204A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012205A
IN
363LF0000X
Family Nurse Practitioner
7101225A
IN
Other
Enumeration date
08/13/2015
Last updated
04/06/2022
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