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Kanisha R Miller
Nurse Practitioner in Kenosha, Wisconsin
NPI 1699341834

Kanisha R Miller is a Nurse Practitioner based in Kenosha, WI. Kanisha R Miller practices in Kenosha, WI. The NPI Number for Kanisha R Miller is 1699341834 and holds a License No. 10748-33 (Wisconsin).

The current practice location address for Kanisha R Miller is 3710 57Th Ave, Kenosha, WI and can be reached out via phone at 262-652-1474.

Location: 3710 57Th Ave, Kenosha, WI, 53144-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699341834
Provider Name
Kanisha R Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
3710 57Th Ave, Kenosha, WI, 53144-4820
Phone Number
262-652-1474
Fax Number
Provider Enumeration Date
05/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3710 57Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-4820
Phone Number
262-652-1474
Fax Number
person
Provider Business Mailing Address Details
Address
3710 57Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-4820
Phone Number
262-652-1474
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
10748-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10748-33 (Wisconsin)
Definition
Definition to come...
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