Individual
BETHANIE MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1725 LEGACY PKWY E STE 100, MAPLEWOOD, MN 55109-5434
(952) 841-2345
(952) 841-2346
Mailing address
7235 OHMS LN, EDINA, MN 55439-2148
(952) 841-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8599
MN
Other
Enumeration date
10/19/2021
Last updated
12/21/2023
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