Individual
MARY ELLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3920 MICHIGAN AVE, FORT MYERS, FL 33916-2205
(239) 332-9501
(239) 461-6135
Mailing address
3920 MICHIGAN AVE, FORT MYERS, FL 33916-2205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP406032
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP406032
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP406032
FL
Other
Enumeration date
11/08/2006
Last updated
09/11/2025
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