Individual
CATHERINE MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3303 FERN VALLEY RD, LOUISVILLE, KY 40213-3529
(502) 964-4889
(502) 964-9976
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004700
KY
363LP0200X
Pediatric Nurse Practitioner
3004700
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000482390
ANTHEM
KY
01
—
P01253580
RAILROAD MEDICARE
KY
Enumeration date
05/06/2006
Last updated
08/14/2015
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