Individual
WHITNEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1687 W WASHINGTON ST, MARSHFIELD, MO 65706-2244
(417) 859-5144
(417) 859-5012
Mailing address
1687 W WASHINGTON ST, MARSHFIELD, MO 65706-2244
(417) 859-5144
(417) 859-5012
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6415
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101497709
—
MO
Enumeration date
08/03/2015
Last updated
08/03/2015
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