Individual
PHILLIP L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, NP
Contact information
Practice address
2516 BROADMOOR BLVD, MONROE, LA 71201-2988
(318) 807-4743
(318) 398-2413
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP05095
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148008
—
LA
Enumeration date
07/03/2008
Last updated
05/26/2025
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