Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | C-APN.0000567-C-NP | CO |
NPI | 1225261829 |
---|---|
Provider Name | Jennifer Catherine Miller |
First Address | Denver, CO 80203-3439 |
Second Address | Phoenix, AZ 85009-2805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2009 |
Last Update Date | 20/04/2017 |