Individual
CARLA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 WHEATON WAY STE 3, BREMERTON, WA 98310-4459
(407) 961-6649
Mailing address
925 S SEMORAN BLVD STE 110A, WINTER PARK, FL 32792-5313
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61379367
WA
363LG0600X
Gerontology Nurse Practitioner
AP61379367
WA
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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