Individual
MRS. GRACE MARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4000
Mailing address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
674675
NY
363LF0000X
Family Nurse Practitioner
Primary
348282
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/07/2021
Last updated
08/23/2021
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