MEDICARE: MRS. KIRSTEN E MILLER CNM, ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	64027	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	161105	OTHER	KS	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356346571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIRSTEN E MILLER CNM, ARNP

Provider Business Mailing Address
First Line	:	100 BREWSTER BLVD
Second Line	:	NAVAL HOSPITAL
City	:	CAMP LEJEUNE
State	:	NC
Zip	:	28547-2538
Country	:	US
Telephone Number	:	910-450-3905
Fax Number	:	910-450-4558

Provider Business Practice Location Address
First Line	:	100 BREWSTER BLVD
Second Line	:	NAVAL HOSPITAL
City	:	CAMP LEJEUNE
State	:	NC
Zip	:	28547-2538
Country	:	US
Telephone Number	:	910-450-3905
Fax Number	:	910-450-4558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	11/24/2009

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