Healthcare Provider Details
I. General information
NPI: 1114998820
Provider Name (Legal Business Name): VALERIE MILLER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/30/2006
Last Update Date: 05/19/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 MERCY CIRCLE
CAMP PENDLETON CA
92055
US
IV. Provider business mailing address
301 MISSION AVE UNIT 302
OCEANSIDE CA
92054-2592
US
V. Phone/Fax
- Phone: 760-725-1090
- Fax: 760-725-1235
- Phone: 760-725-1090
- Fax: 760-725-1235
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 590914 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: