Individual
HEATHER NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 423 SOUTH, SAINT PAUL, MN 55114-1052
(612) 870-5557
(612) 870-5857
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(651) 641-0556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9922
MN
Other
Enumeration date
08/18/2005
Last updated
03/24/2008
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