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NPI Code Detail

MEDICARE: CATHERINE MARIE MILLER APRN

MEDICARE: CATHERINE MARIE MILLER APRN
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 Practitioner3004700KY
2363LP0200XPediatric Nurse Practitioner3004700KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01253580OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000482390OTHERKYANTHEM

General Provider Information

NPI Number : 1689623944
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE MARIE MILLER APRN
Provider Business Mailing Address
First Line : PO BOX 950248
Second Line :
City : LOUISVILLE
State : KY
Zip : 40295-0248
Country : US
Telephone Number : 502-489-5730
Fax Number : 502-489-5753
Provider Business Practice Location Address
First Line : 3303 FERN VALLEY RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40213-3529
Country : US
Telephone Number : 502-964-4889
Fax Number : 502-964-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 08/14/2015

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Directions to “ CATHERINE MARIE MILLER APRN” Practice Location

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