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Sandra Gayle Miller, FAMNURSEPRACTIONER
Family Nurse Practitioner in La Junta, Colorado
NPI 1942485719

Sandra Gayle Miller is a Family Nurse Practitioner based in La Junta, CO and is specialized in Family. Sandra Gayle Miller practices in La Junta, CO and has the professional credentials of FAMNURSEPRACTIONER. The NPI Number for Sandra Gayle Miller is 1942485719 and holds a License No. NP-5129 (Colorado).

The current practice location address for Sandra Gayle Miller is 1100 Carson Ave, La Junta, CO and can be reached out via phone at 719-383-5900.

Location: 1100 Carson Ave, La Junta, CO, 81050-2751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942485719
Provider Name
Sandra Gayle Miller
Credential
FAMNURSEPRACTIONER
Provider Entity Type
Individual
Gender
Female
Address
1100 Carson Ave, La Junta, CO, 81050-2751
Phone Number
719-383-5900
Fax Number
Provider Enumeration Date
12/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74637801 05 CO
institution
Provider Business Practice Location Address Details
Address
1100 Carson Ave
City
La Junta
State
Colorado
Zip
81050-2751
Phone Number
719-383-5900
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Carson Ave
City
La Junta
State
Colorado
Zip
81050-2751
Phone Number
719-383-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP-5129 (Colorado)
Definition
Definition to come...
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