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Individual

CAROL MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-8888
(509) 444-7806
Mailing address
1825 S BLAKE RD, SPOKANE VALLEY, WA 99216-0413

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
AP30004340
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9622853
WA
Enumeration date
05/03/2006
Last updated
07/08/2007
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