Healthcare Provider Details
I. General information
NPI: 1437272671
Provider Name (Legal Business Name): DAUN MARIE MILLER WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2007
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13420 N MERIDIAN ST STE 270
CARMEL IN
46032-1581
US
IV. Provider business mailing address
13420 N MERIDIAN ST STE 270
CARMEL IN
46032-1581
US
V. Phone/Fax
- Phone: 317-582-8560
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | 71004012A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: