Individual
SHANNA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1401 WEST ST, OPELIKA, AL 36801-7819
(334) 559-5579
(334) 826-7937
Mailing address
1401 WEST ST, OPELIKA, AL 36801-7819
(334) 559-5579
(334) 826-7937
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-060174
AL
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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