Lisa Lynette Miller
Nurse Practitioner Nurse Practitioner - Adult Health
4201 Campus Ridge Dr Ste 4000
Midland
, Michigan 48640
Lisa Lynette Miller
Nurse Practitioner Nurse Practitioner - Adult Health
4201 Campus Ridge Dr Ste 4000
Midland
, Michigan 48640
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Lisa Lynette Miller
- 4000 Wellness Dr
- Midland, MI
- Zip : 48670-2000
- Phone :
Second Address
- Lisa Lynette Miller
- 4201 Campus Ridge Dr Ste 4000
- Midland, MI
- Zip : 48640
- Phone : (989) 839-3393
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP30007900 | WA |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 200650026NP ACNP-PP | OR |
National Provider Identifier
| NPI | 1003970856 |
|---|---|
| Provider Name | Lisa Lynette Miller |
| First Address | Midland, MI 48670-2000 |
| Second Address | Midland, MI 48640 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2006 |
| Last Update Date | 18/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0248141 | LABOR & INDUSTRIES (01) | WA |
| 2005009787-21 | WA LIC (01) | WA |
| 200650026NP ACNP-PP | OR LICENSE (01) | OR |
| 9654609 | (05) | WA |
| MM1390727 | DEA (01) | WA |
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.