Clementine Miller
Nurse Practitioner - Adult Health
1205 Troy Schenectady Rd Ste 101
Latham
, New York 12110-1074
Clementine Miller
Nurse Practitioner - Adult Health
1205 Troy Schenectady Rd Ste 101
Latham
, New York 12110-1074
(617) 838-5375
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Clementine Miller
- 3217 Phillip St
- Schenectady, NY
- Zip : 12306-1420
- Phone : (617) 838-5375
Second Address
- Clementine Miller
- 1205 Troy Schenectady Rd Ste 101
- Latham, NY
- Zip : 12110-1074
- Phone : (518) 348-3176
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 307173 | NY |
National Provider Identifier
| NPI | 1013306455 |
|---|---|
| Provider Name | Clementine Miller |
| First Address | Schenectady, NY 12306-1420 |
| Second Address | Latham, NY 12110-1074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2015 |
| Last Update Date | 24/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.