Individual
MRS. MICHELE JOY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9850
Mailing address
101 E. OLNEY AVE, PROVIDER ENROLLMENT, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-4695
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401336-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014855
PA
Other
Enumeration date
12/16/2010
Last updated
03/17/2018
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