person
Ms. Shanda Retta Mae Miller, FNP-BC
Family Nurse Practitioner in Bridgeport, Connecticut
NPI 1811660822

Shanda Retta Mae Miller is a Family Nurse Practitioner based in Bridgeport, CT and is specialized in Family. Shanda Retta Mae Miller practices in Bridgeport, CT and has the professional credentials of FNP-BC. The NPI Number for Shanda Retta Mae Miller is 1811660822 and holds a License No. 9965 (Connecticut).

The current practice location address for Shanda Retta Mae Miller is 439 Mill Hill Ave, Bridgeport, CT and can be reached out via phone at 203-334-2100 and via fax at 203-333-5864.

Location: 439 Mill Hill Ave, Bridgeport, CT, 06610-2866
person
Provider Profile Details
NPI Number
1811660822
Provider Name
Shanda Retta Mae Miller
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
439 Mill Hill Ave, Bridgeport, CT, 06610-2866
Phone Number
203-334-2100
Fax Number
203-333-5864
Provider Enumeration Date
07/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
439 Mill Hill Ave
City
State
Zip
06610-2866
Phone Number
203-334-2100
Fax Number
203-333-5864
person
Provider Business Mailing Address Details
Address
439 Mill Hill Ave
City
State
Zip
06610-2866
Phone Number
203-334-2100
Fax Number
203-333-5864
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
9965 (Connecticut)
Definition
Definition to come...
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