Individual
SANDRA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
636 SAINT ANNE ST, RAPID CITY, SD 57701-4694
(605) 348-8000
(605) 348-4315
Mailing address
677 CATHEDRAL DR, RAPID CITY, SD 57701-6018
(605) 343-9224
(605) 342-1359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R0148350250
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP000250
SD
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R0148350250
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6826173
—
SD
Enumeration date
06/13/2006
Last updated
12/05/2018
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