Individual
THERESA G. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
Mailing address
PO BOX 248, BARBOURSVILLE, WV 25504-0248
(304) 429-6741
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25127
WV
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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