Individual
KIANA RACHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 S MAIN ST, ROGERSVILLE, MO 65742-9357
(417) 753-9404
(417) 753-9137
Mailing address
101 S MAIN ST, ROGERSVILLE, MO 65742-9357
(417) 753-9404
(417) 753-9137
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2014000689
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669883849
—
MO
01
—
2014000689
MO LICENSE
MO
Enumeration date
05/09/2014
Last updated
08/25/2023
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