Individual
JEANNETTE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8980 161ST AVE NE # 320, REDMOND, WA 98052-7554
(425) 883-3333
Mailing address
8980 161ST AVE NE # 320, REDMOND, WA 98052-7554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60709612
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60709612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074040
—
WA
Enumeration date
10/04/2011
Last updated
11/12/2024
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