Individual
ANTRONETTE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
617 N SCOTTSDALE RD STE D, SCOTTSDALE, AZ 85257-4207
(480) 867-0999
Mailing address
617 N SCOTTSDALE RD STE D, SCOTTSDALE, AZ 85257-4207
(480) 867-0999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
241036
AZ
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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