person
Judith L Miller, MD
Gerontology Nurse Practitioner in Spring Park, Minnesota
NPI 1306845243

Judith L Miller is a Gerontology Nurse Practitioner based in Spring Park, MN and is specialized in Gerontology. Judith L Miller practices in Spring Park, MN and has the professional credentials of MD. The NPI Number for Judith L Miller is 1306845243 and holds a License No. R0732886 (Minnesota).

The current practice location address for Judith L Miller is 4695 Shoreline Dr, Spring Park, MN and can be reached out via phone at 952-442-7890 and via fax at 952-442-7893.

Location: 4695 Shoreline Dr, Spring Park, MN, 55384-9715
person
Provider Profile Details
NPI Number
1306845243
Provider Name
Judith L Miller
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4695 Shoreline Dr, Spring Park, MN, 55384-9715
Phone Number
952-442-7890
Fax Number
952-442-7893
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
412726900 05 MN
R0732886 01 MN RN LICENSE
institution
Provider Business Practice Location Address Details
Address
4695 Shoreline Dr
City
State
Zip
55384-9715
Phone Number
952-442-7890
Fax Number
952-442-7893
person
Provider Business Mailing Address Details
Address
4695 Shoreline Dr
City
State
Zip
55384-9715
Phone Number
952-442-7890
Fax Number
952-442-7893
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R0732886 (Minnesota)
Definition
Definition to come...
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