Individual
LISA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14841 179TH AVE SE STE 210, MONROE, WA 98272-1127
(360) 793-0201
Mailing address
12040 NE 128TH ST # MS -50, KIRKLAND, WA 98034-3013
(425) 899-1920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60938636
WA
Other
Enumeration date
03/02/2019
Last updated
04/02/2022
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