Individual
BRIAN L. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2121
Mailing address
47 MATILDA ST APT F, PROVIDENCE, RI 02904-1887
(401) 480-6864
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN242566
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA36599
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110124896A
—
MA
Enumeration date
01/03/2006
Last updated
02/04/2026
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