Individual
JULIE ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118
(857) 654-1000
Mailing address
28 BIGELOW ST APT 3, BRIGHTON, MA 02135-1608
(617) 787-9898
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
205431
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02188241
MEDICAID
NY
05
—
110018941A
—
MA
01
—
NP2910
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/30/2006
Last updated
08/14/2018
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