Individual
NICOLE S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
12455 E 100TH ST N STE 350, OWASSO, OK 74055-4675
(918) 274-5555
Mailing address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4200
(918) 619-4216
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
210680
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201122930A
—
OK
Enumeration date
11/16/2022
Last updated
11/19/2024
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