Individual
LEAH R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2832 ELKHART RD, GOSHEN, IN 46526-1014
(574) 537-0219
(574) 534-0435
Mailing address
2832 ELKHART RD, GOSHEN, IN 46526-1014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001983A
IN
363LF0000X
Family Nurse Practitioner
Primary
71001983A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200814120
—
IN
Enumeration date
08/31/2006
Last updated
04/21/2023
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