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Individual

EMILY K MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
(888) 803-6843
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004503A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201183780
IN
Enumeration date
06/19/2013
Last updated
05/04/2026
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