Individual
POLLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 962-9841
Mailing address
110 W 6TH AVE # 218, ELLENSBURG, WA 98926-3106
(509) 856-6874
(509) 962-9288
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005401
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9621822
—
WA
Enumeration date
08/18/2006
Last updated
07/08/2007
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