Individual
KATHRYN ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-2778
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-2778
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001227541
VA BOARD OF NURSING
VA
Enumeration date
05/08/2021
Last updated
05/26/2021
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