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Individual

COURTNEY A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1101 SAM PERRY BLVD, SUITE 401, FREDERICKSBURG, VA 22401-4467
(540) 940-2000
(540) 940-2001
Mailing address
2300 FALL HILL AVE STE 317, FREDERICKSBURG, VA 22401-3343

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024170740
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209007822
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209007822
IL LICENSE
IL
Enumeration date
07/25/2007
Last updated
09/20/2024
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