Individual
WENDY BRADEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
106 CREEK ST, LAKE CITY, TN 37769-2520
(865) 426-8061
(865) 426-9200
Mailing address
PO BOX 1035, LAKE CITY, TN 37769-1035
(865) 426-8061
(865) 426-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15017
TN
Other
Enumeration date
06/03/2010
Last updated
02/19/2013
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