Healthcare Provider Details

I. General information

NPI: 1336076272
Provider Name (Legal Business Name): JULIE CHARMAINE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 RIDGE CROSSING AVE
HENDERSON NV
89002-9256
US

IV. Provider business mailing address

175 RIDGE CROSSING AVE
HENDERSON NV
89002-9256
US

V. Phone/Fax

Practice location:
  • Phone: 702-601-3181
  • Fax: 702-601-3181
Mailing address:
  • Phone: 702-601-3181
  • Fax: 702-601-3181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number902303
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN82062
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: