Individual
MRS. MARCELLA IRENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS(ED.) FNP-BC
Contact information
Practice address
911 MEDICAL CENTRE DR STE C, ARLINGTON, TX 76012-4758
(817) 461-0201
(817) 861-3365
Mailing address
2016 S MAIN ST, GOSHEN, IN 46526-5236
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1058064
TX
363L00000X
Nurse Practitioner
71006614A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
1058064
TX
Other
Enumeration date
09/16/2016
Last updated
01/28/2022
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