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Individual

ANJANETTE H MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-090412
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127200
AL
01
511-13992
BCBS
AL
01
P00945368
RR MEDICARE
AL
Enumeration date
06/25/2008
Last updated
02/10/2015
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