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Individual

CARISSA MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1021 DARRINGTON DR STE 101, CARY, NC 27513-8158
(919) 852-3999
(919) 378-9114
Mailing address
137 CREAMERY RD, HOPEWELL JUNCTION, NY 12533-5271

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643357
NY
363LF0000X
Family Nurse Practitioner
341577
NY
363LF0000X
Family Nurse Practitioner
355400
NC
363LF0000X
Family Nurse Practitioner
5019781
NC
363LF0000X
Family Nurse Practitioner
Primary
7238
CT
363LF0000X
Family Nurse Practitioner
95010836
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
341577
NURSE PRACTITIONER
NY
01
355400
NCBON RN LICENSE
NC
01
5019781
NCBON NP LICENSE
NC
01
7238
NURSE PRACTITIONER
CT
Enumeration date
04/01/2016
Last updated
02/16/2026
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