Individual
BETTY S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2142 WECOMA PL, ILWACO, WA 98624-0430
(360) 642-4821
Mailing address
PO BOX 430, ILWACO, WA 98624-0430
(360) 642-4821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004492
WA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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