Individual
COURTNEY STANFORD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20060 GOVERNORS DR, SUITE 102, OLYMPIA FIELDS, IL 60461-1029
(815) 824-4406
Mailing address
26901 BEAUMONT BOULEVARD, STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1866
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013548
IL
363L00000X
Nurse Practitioner
Primary
4704276415
MI
Other
Enumeration date
01/15/2016
Last updated
02/06/2019
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