Individual
LAURA B. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7000
Mailing address
302 W HAY ST STE 110, DECATUR, IL 62526-4167
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.018497
IL
363LG0600X
Gerontology Nurse Practitioner
209018497
IL
Other
Enumeration date
12/09/2018
Last updated
11/29/2023
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