Individual
MRS. BRENDA DENISE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 9TH ST S, FARGO, ND 58103-1831
(701) 361-9922
(701) 829-7170
Mailing address
21 9TH ST S, FARGO, ND 58103-1830
(701) 361-9922
(701) 829-7140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
00000
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
ND
Enumeration date
02/20/2023
Last updated
02/20/2023
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