Individual
MAGDALENE E. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9008 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2501
(219) 513-8923
Mailing address
2302 THOMAS RD, VALPARAISO, IN 46383-1655
(218) 308-5340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008636A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14382648
CAQH
IN
05
—
300022033
—
IN
Enumeration date
12/19/2018
Last updated
06/15/2022
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