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Individual

CATHERINE JEAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN ,CNP

Contact information

Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 101164-5
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251242400
MN
05
43820200
WI
Enumeration date
06/20/2005
Last updated
05/17/2011
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