Individual
MRS. MAEGAN ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
Mailing address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1-107761
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
R875665
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04225328
—
MS
Enumeration date
03/21/2012
Last updated
08/31/2016
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