Individual
CHERYL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
337 E HOUGHTON AVE, WEST BRANCH, MI 48661-1127
(989) 345-5240
(989) 345-4513
Mailing address
337 E HOUGHTON AVE, WEST BRANCH, MI 48661-1127
(989) 345-5240
(989) 345-4513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704103298
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704103298
STATE LICENSE
MI
01
—
5008770700
BCBS PIN
MI
05
—
5181590
—
MI
05
—
5181615
—
MI
05
—
5206483
—
MI
01
—
700G210140
BCBS GROUP
MI
Enumeration date
11/01/2006
Last updated
01/27/2009
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