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NPI Code Detail

MEDICARE: CATHERINE JUNE MILLER NP-C

MEDICARE: CATHERINE JUNE MILLER NP-C
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
1363LF0000XFamily Nurse PractitionerCP000335SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10041287OTHERSDBLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588638779
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JUNE MILLER NP-C
Provider Business Mailing Address
First Line : 1200 S 7TH AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-0998
Country : US
Telephone Number : 605-782-8305
Fax Number : 605-336-1677
Provider Business Practice Location Address
First Line : 2100 S MARION RD
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57106-3646
Country : US
Telephone Number : 605-322-1010
Fax Number : 605-322-1011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 04/19/2022

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