Individual
SHELLY MILLER TAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, MHA
Contact information
Practice address
7755 CENTER AVE STE 630, HUNTINGTON BEACH, CA 92647-9152
(657) 204-3953
(844) 698-7227
Mailing address
7755 CENTER AVE STE 630, HUNTINGTON BEACH, CA 92647-9152
(657) 204-3953
(844) 698-7227
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11304
CA
363LA2100X
Acute Care Nurse Practitioner
RN133463
AZ
Other
Enumeration date
08/24/2005
Last updated
03/17/2018
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