Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 26NJ00702800 | NJ |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 26NJ00702800 | NJ |
NPI | 1073050076 |
---|---|
Provider Name | Mrs. Chae Danielle Miller-Westfield |
First Address | N. White Plains, NY 10603 |
Second Address | Hackensack, NJ 07601-1974 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2017 |
Last Update Date | 17/03/2018 |