Individual
TRACEY M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP MSN
Contact information
Practice address
4123 DUTCHMANS LN, STE.301, LOUISVILLE, KY 40207
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
1075730
KY
363LN0000X
Neonatal Nurse Practitioner
Primary
3002906
KY
Other
Enumeration date
05/12/2006
Last updated
01/20/2021
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