Individual
MADELYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN BC
Contact information
Practice address
2105 CLEARY AVE, METAIRIE, LA 70001-1623
(419) 841-1832
Mailing address
201 N CANAL BLVD, THIBODAUX, LA 70301-2910
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15101-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
AP03086
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-4946455
—
MI
05
—
11-4946464
—
MI
05
—
11-4946473
—
MI
05
—
11-4946482
—
MI
01
—
382962430001
TRICARE CHAMPUS
MI
05
—
4863497
—
MI
05
—
4863503
—
MI
05
—
4863512
—
MI
05
—
4863521
—
MI
05
—
4863530
—
MI
Enumeration date
05/17/2006
Last updated
02/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us