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Individual

MR. BRUCE WAYNE MILLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGNP-C, PMHNP-BC

Contact information

Practice address
940 BELMONT ST BLDG 2, BROCKTON, MA 02301-5596
(774) 313-0701
Mailing address
940 BELMONT ST BLDG 2, BROCKTON, MA 02301-5596

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2340940
MA
163W00000X
Registered Nurse
RN68930
RI
363LA2200X
Adult Health Nurse Practitioner
APRN03024
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2340940
MA

Other

Enumeration date
06/30/2022
Last updated
04/11/2025
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