Individual
LISA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 MAIN ST, GREENFIELD, MA 01301-3275
(413) 325-8500
Mailing address
102 MAIN ST, GREENFIELD, MA 01301-3275
(413) 325-8500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213928
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301128
—
MA
Enumeration date
02/02/2006
Last updated
09/21/2023
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