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NPI Code Detail

MEDICARE: MS. ALTHEA B MILLER

MEDICARE:  MS. ALTHEA B MILLER
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
1367A00000XAdvanced Practice MidwifeRN282972-LPA

General Provider Information

NPI Number : 1134110174
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALTHEA B MILLER
Provider Business Mailing Address
First Line : 4175 S ALAMO AVE
Second Line : DAVIS-MONTHAN AFB
City : TUCSON
State : AZ
Zip : 85707-6097
Country : US
Telephone Number : 520-228-2615
Fax Number : 520-228-2627
Provider Business Practice Location Address
First Line : 4175 S ALAMO AVE
Second Line : DAVIS-MONTHAN AFB
City : TUCSON
State : AZ
Zip : 85707-6097
Country : US
Telephone Number : 520-228-2615
Fax Number : 520-228-2627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/08/2007

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Directions to “ MS. ALTHEA B MILLER ” Practice Location

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