Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APN.0990826-NP | CO |
NPI | 1013906585 |
---|---|
Provider Name | Katherine Lynn Miller |
First Address | Golden, CO 80403-7445 |
Second Address | Golden, CO 80403-7445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 15/04/2016 |