Individual
MICHELLE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-6002
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C01172
AR
367500000X
Certified Registered Nurse Anesthetist
26346
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP107049
TX
Other
Enumeration date
06/20/2005
Last updated
02/03/2023
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