Individual
NELLIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
721 MADISON ST, HUNTSVILLE, AL 35801
(256) 533-4888
Mailing address
PO BOX 288, HUNTSVILLE, AL 35804
(256) 880-6711
(256) 880-6712
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1018106
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000039970
—
AL
01
—
39970
BC OF AL
AL
Enumeration date
02/10/2006
Last updated
04/30/2010
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