Healthcare Provider Details

I. General information

NPI: 1770083123
Provider Name (Legal Business Name): BILLIE MILLER APRN - NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 DODGE ST
OMAHA NE
68114-4108
US

IV. Provider business mailing address

16105 EMILINE ST
OMAHA NE
68136-3007
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-2917
  • Fax:
Mailing address:
  • Phone: 402-658-0796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number112399
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: