Individual
VANESSA GAIL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 2ND AVE STE 122, FAIRBANKS, AK 99701-4469
(907) 374-0852
(907) 374-0854
Mailing address
PO BOX 72376, FAIRBANKS, AK 99707-2376
(907) 374-0852
(907) 374-0854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
193122
AK
363L00000X
Nurse Practitioner
95020921
CA
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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