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Individual

BERNADETTE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
38 MOUNTAIN REST RD., NEW PALTZ, NY 12561-2917
(845) 527-8472
Mailing address
38 MOUNTAIN REST RD., NEW PALTZ, NY 12561-2917
(845) 255-9162

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226981-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02723742
NY
Enumeration date
04/08/2010
Last updated
04/08/2010
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