Individual
ANDREA SUE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4211 OKEMOS RD STE 12, OKEMOS, MI 48864-3287
(517) 214-9779
(517) 201-0607
Mailing address
4211 OKEMOS RD STE 12, OKEMOS, MI 48864-3287
(517) 201-0607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704255922
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704255922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629418041
—
MI
Enumeration date
06/29/2013
Last updated
11/22/2025
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