Individual
SUSAN ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, STE 100, LOVELAND, CO 80538-9004
(970) 624-1800
(970) 624-1891
Mailing address
2500 ROCKY MOUNTAIN AVE, SUITE 100, LOVELAND, CO 80538-9004
(970) 624-1800
(970) 624-1891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77001
CO
363L00000X
Nurse Practitioner
Primary
5118
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96432888
—
CO
Enumeration date
05/21/2007
Last updated
06/12/2014
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