Individual
MS. BERNADETTE PAULINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(623) 374-3326
Mailing address
1908 W. MUIRFIELD CT., ANTHEM, AZ 85086
(623) 374-3326
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN103894
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-419-589
AH CCCS//AS
AZ
01
—
24019
AS MED PIN
AZ
01
—
4300
RR MEDICARE
AZ
01
—
44619
CHAMPUS
AZ
Enumeration date
09/13/2006
Last updated
07/08/2007
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