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Individual

MARANDA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2457467
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9861
MN

Other

Enumeration date
10/06/2022
Last updated
02/28/2023
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