Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN0000008351 | TN |
NPI | 1043293533 |
---|---|
Provider Name | Mrs. Cynthia May Miller |
First Address | Knoxville, TN 37916-1839 |
Second Address | Knoxville, TN 37916-1839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 08/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q004369 | (05) | TN |