Individual
NADINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W LAKE ST, 208, MINNEAPOLIS, MN 55408-3397
(612) 455-3200
(612) 455-3299
Mailing address
1802 WESTCHESTER LN, SHAKOPEE, MN 55379-4566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-15068
MEDICA
MN
01
—
34204CA
BLUE CROSS BLUE SHIELD
MN
05
—
607627100
—
MN
01
—
962641046033
PREFERRED ONE
MN
01
—
HP58075
HEALTH PARTNERS
MN
Enumeration date
07/07/2006
Last updated
05/21/2008
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