MEDICARE: MS. PEGGY SUZANNE MILLER RN, ARNP-FNP

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	363LF0000X	Family Nurse Practitioner	RN20R32	GU
2	363LF0000X	Family Nurse Practitioner	20R32-20NP01	GU
3	363LF0000X	Family Nurse Practitioner	NP229A	ID
4	363LF0000X	Family Nurse Practitioner	APRN20NP	GU
5	363LF0000X	Family Nurse Practitioner	AP30001789	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629260112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PEGGY SUZANNE MILLER RN, ARNP-FNP

Provider Business Mailing Address
First Line	:	8212 S MARCH POINT RD
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-8684
Country	:	US
Telephone Number	:	360-588-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	8212 S MARCH POINT RD
Second Line	:
City	:	ANACORTES
State	:	WA
Zip	:	98221-8684
Country	:	US
Telephone Number	:	360-588-2800
Fax Number	:

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

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	02/22/2023

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