Individual
KRISTINA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 W SR 434, LONGWOOD, FL 32750-5119
(407) 262-2220
(407) 834-5011
Mailing address
555 W SR 434, LONGWOOD, FL 32750-5119
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11033995
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11033995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123771600
—
FL
Enumeration date
07/17/2024
Last updated
10/21/2024
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