Individual
FAITH MELINDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2526 E 71ST ST STE J, TULSA, OK 74136-5576
(918) 268-9578
(918) 471-2854
Mailing address
2526 E 71ST ST STE J, TULSA, OK 74136-5576
(918) 268-9578
(918) 471-2854
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
105704
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
105704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200849990A
—
OK
Enumeration date
08/31/2016
Last updated
10/26/2023
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