Individual
MISS BEVERLY ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRACTICAL NURSE
Contact information
Practice address
810 S 4TH ST, CLINTON, IN 47842-2220
(765) 832-1978
Mailing address
PO BOX 184, ROSEDALE, IN 47874-0184
(765) 832-1978
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
11675
HI
164W00000X
Licensed Practical Nurse
Primary
27031347A
IN
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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