Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP61120193 | WA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN277481 | GA |
NPI | 1093208878 |
---|---|
Provider Name | Chelsea Belle Miller |
First Address | Yakima, WA 98902-3799 |
Second Address | Atlanta, GA 30308-2247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2018 |
Last Update Date | 18/03/2021 |