MEDICARE: MS. JULIE MILLER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95012705	CA
2	363LF0000X	Family Nurse Practitioner	95012705	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013554716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE MILLER NP

Provider Business Mailing Address
First Line	:	16611 BURKE LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-4535
Country	:	US
Telephone Number	:	323-940-5504
Fax Number	:	323-614-4749

Provider Business Practice Location Address
First Line	:	16611 BURKE LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-4535
Country	:	US
Telephone Number	:	323-940-5504
Fax Number	:	323-614-4749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	04/29/2025

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