Individual
EVAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
8803 S 101ST EAST AVE, STE 100, TULSA, OK 74133-7546
(918) 579-2791
(918) 579-2799
Mailing address
8803 S 101ST EAST AVE, STE 100, TULSA, OK 74133-7546
(918) 579-2791
(918) 579-2799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107407
OK
Other
Enumeration date
09/20/2018
Last updated
10/08/2019
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