Individual
IRAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11255 N 5710 W, HIGHLAND, UT 84003-9042
(801) 360-9398
Mailing address
11255 N 5710 W, HIGHLAND, UT 84003-9042
(801) 360-9398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212565-4405
UT
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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