Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 113749 | OK |
N | 363LW0102X | Nurse Practitioner - Women's Health | 2018011768 | MO |
NPI | 1033616792 |
---|---|
Provider Name | Hilary Christine Miller |
First Address | Oklahoma City, OK 73117-1299 |
Second Address | Oklahoma City, OK 73117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2018 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113749 | OKLAHOMA BOARD OF NURSING (01) | OK |
2018011768 | LICENSE (01) | MO |