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Mr. Etthan Charles Miller
Family Nurse Practitioner in Wytheville, Virginia
NPI 1336546209

Etthan Charles Miller is a Family Nurse Practitioner based in Wytheville, VA and is specialized in Family. Etthan Charles Miller practices in Wytheville, VA. The NPI Number for Etthan Charles Miller is 1336546209 and holds a License No. 0001111520 (Virginia).

The current practice location address for Etthan Charles Miller is 1785 W Lee Hwy, Wytheville, VA and can be reached out via phone at 276-620-4246.

Location: 1785 W Lee Hwy, Wytheville, VA, 24382-1437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336546209
Provider Name
Etthan Charles Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
1785 W Lee Hwy, Wytheville, VA, 24382-1437
Phone Number
276-620-4246
Fax Number
Provider Enumeration Date
11/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336546209 05 VA
institution
Provider Business Practice Location Address Details
Address
1785 W Lee Hwy
City
Wytheville
State
Virginia
Zip
24382-1437
Phone Number
276-620-4246
Fax Number
person
Provider Business Mailing Address Details
Address
1785 W Lee Hwy
City
Wytheville
State
Virginia
Zip
24382-1437
Phone Number
276-620-4246
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
0024172389 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Occupational Health
Taxonomy
163WX0106X
License No.
0001111520 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0001111520 (Virginia)
Definition
Definition to come...
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