Individual
AMY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2004001917
MO
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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