Individual
MRS. RENAL R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11401 GOSLING SHOALS WAY, LOUISVILLE, KY 40229-6515
(847) 274-3367
Mailing address
11401 GOSLING SHOALS WAY, LOUISVILLE, KY 40229-6515
(847) 274-3367
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209.013201
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
3011573
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006480
—
IN
05
—
7100499950
—
KY
Enumeration date
04/26/2015
Last updated
12/09/2020
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