Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 1034362 | TX |
N | 363LW0102X | Nurse Practitioner - Women's Health | 593676 | NY |
NPI | 1013285725 |
---|---|
Provider Name | Ms. Tashana Chaniece Miller |
First Address | Houston, TX 77023-3533 |
Second Address | Houston, TX 77023-3533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2011 |
Last Update Date | 28/12/2021 |