Individual
JUSTINE MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 559-4424
(402) 559-7929
Mailing address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 559-4424
(402) 559-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026059800
—
NE
Enumeration date
12/21/2009
Last updated
04/24/2016
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