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Individual

DANIELLE R MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP-C

Contact information

Practice address
2100 RAYBROOK ST SE STE 100, GRAND RAPIDS, MI 49546-5782
(616) 235-5101
(616) 949-9020
Mailing address
8214 PFEIFFER FARMS DR SW, BYRON CENTER, MI 49315-8288
(616) 235-5101

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704282702
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704282702
MI

Other

Enumeration date
06/28/2019
Last updated
02/08/2023
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