Individual
CRYSTAL BREKKE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
9102898-3102
UT
367A00000X
Advanced Practice Midwife
Primary
9102898-4402
UT
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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