Wanda Miller NP

NPI 1063515872 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1063515872
Gender Female
Enumeration Date 09/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 FREEDOM WAY
AUGUSTA GA, 30904-6258, US
Phone (706) 733-0188
Fax
Business Location
47 CHASTE TREE LN
MARTINEZ GA, 30907-3547, US
Phone (706) 733-0188
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Mississippi
License Number R619183
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According to our database, Wanda Miller NP NPI is 1063515872, taxonomy code is 363LA2200X and license number is R619183, license state is located at Mississippi. Wanda Miller NP physically located at 1 Freedom Way, Augusta GA, 30904-6258. NPI Number Wanda Miller NP has the Individual type.

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1063515872 NPI number is provided on an as is basis without warranty of any kind. 1063515872 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda Miller NP are for informational purposes only.