Healthcare Provider Details

I. General information

NPI: 1003355066
Provider Name (Legal Business Name): BRITTANY MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 S CHERRY ST
DENVER CO
80222-5036
US

IV. Provider business mailing address

4543 OSCEOLA ST
DENVER CO
80212-2543
US

V. Phone/Fax

Practice location:
  • Phone: 720-523-1113
  • Fax:
Mailing address:
  • Phone: 253-802-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0013083
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: