Individual
SHANNON NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4218
(617) 582-8608
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-4218
(617) 582-8608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2261243
MA
Other
Enumeration date
08/27/2013
Last updated
07/18/2025
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