Individual
CORINNE LAND MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
315 MARTIN LUTHER KING JUNIOR WAY, TACOMA, WA 98405
(253) 403-1019
Mailing address
608 N STATE ST, TACOMA, WA 98403-1037
(303) 819-6091
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
001737777
WA
363LN0000X
Neonatal Nurse Practitioner
60809280
WA
363LN0000X
Neonatal Nurse Practitioner
Primary
AP60809280
WA
390200000X
Student in an Organized Health Care Education/Training Program
001737777
WA
Other
Enumeration date
07/26/2017
Last updated
01/11/2018
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