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Individual

MICHELE M MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3400 SPRUCE ST, 2 RAVDIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3606
Mailing address
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-3606

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
SP008025
PA
363L00000X
Nurse Practitioner
SP008025
PA
363LF0000X
Family Nurse Practitioner
SP008025
PA

Other

Enumeration date
07/18/2006
Last updated
07/20/2016
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