Individual
SALLY KATHLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1607 E WINDMILL LN STE 300, LAS VEGAS, NV 89123-1910
(702) 757-8720
(702) 605-3085
Mailing address
7416 WITTIG AVE, LAS VEGAS, NV 89131-3213
(702) 612-8428
(702) 605-3085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN000709
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN000709
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801985296
—
NV
Enumeration date
10/12/2006
Last updated
12/20/2023
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