Individual
MR. DUSTIN JOSEPH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
414 SAIZON ST, PORT BARRE, LA 70577
(337) 447-4027
(337) 585-2674
Mailing address
1119 PRUDHOMME CIR STE F, OPELOUSAS, LA 70570-6516
(337) 942-5899
(337) 585-2674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09016
LA
Other
Enumeration date
10/11/2016
Last updated
10/03/2019
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