Individual
HEATHER J MCDANIEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-4600
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-4600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
59576
CA
363AM0700X
Medical Physician Assistant
Primary
PA1404
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932548658
—
ME
01
—
59576
PA LICENSE
CA
Enumeration date
06/15/2013
Last updated
10/13/2023
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