Individual
AMANDA SUSAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215
(412) 596-0461
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.410598
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.023091
OH
Other
Enumeration date
04/20/2018
Last updated
03/21/2022
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