Individual
ERICA R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN AND RN LICENCES
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704306524
MI
164W00000X
Licensed Practical Nurse
4703111825
MI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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