Healthcare Provider Details
I. General information
NPI: 1831207000
Provider Name (Legal Business Name): FRANCES LUCILLE MILLER CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2006
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
145 GREEN MEADOWS DRIVE
GREENFIELD IN
46140-4001
US
IV. Provider business mailing address
8180 CLEARVISTA PARKWAY SUITE 230 ATTN SHERRY MUELLER
INDIANAPOLIS IN
46256-4649
US
V. Phone/Fax
- Phone: 317-318-7100
- Fax:
- Phone: 317-621-7561
- Fax: 317-621-7470
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 70000036A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: