Individual
MS. DESIRRAE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
100 WASHINGTON STREET, ELMIRA, NY 14901
(607) 737-4711
Mailing address
735 DRYBROOK RD, WAVERLY, NY 14892-9408
(607) 201-3637
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
879755-01
NY
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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