Individual
TAMI J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3998 FAIR RIDGE DR, FAIRFAX, VA 22033-2907
(804) 289-4937
(804) 565-6600
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(804) 289-4937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166466
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689675696
—
VA
Enumeration date
08/02/2005
Last updated
10/06/2014
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