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Brandon M Miller, NP
Gerontology Nurse Practitioner in Bloomington, Indiana
NPI 1952685679

Brandon M Miller is a Gerontology Nurse Practitioner based in Bloomington, IN and is specialized in Gerontology. Brandon M Miller practices in Bloomington, IN and has the professional credentials of NP. The NPI Number for Brandon M Miller is 1952685679 and holds a License No. (Indiana).

The current practice location address for Brandon M Miller is 2651 E Discovery Pkwy, Bloomington, IN and can be reached out via phone at 317-250-3061.

Location: 2651 E Discovery Pkwy, Bloomington, IN, 47401-4732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952685679
Provider Name
Brandon M Miller
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2651 E Discovery Pkwy, Bloomington, IN, 47401-4732
Phone Number
317-250-3061
Fax Number
Provider Enumeration Date
09/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300083362 05 IN
institution
Provider Business Practice Location Address Details
Address
2651 E Discovery Pkwy
City
Bloomington
State
Indiana
Zip
47408-9059
Phone Number
317-250-3061
Fax Number
person
Provider Business Mailing Address Details
Address
2651 E Discovery Pkwy
City
Bloomington
State
Indiana
Zip
47408-9059
Phone Number
317-250-3061
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
71014556A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
()
Definition
Definition to come...
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