MEDICARE: MRS. JUDI A MILLER ARNP

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	163WW0101X	Ambulatory Women's Health Care Registered Nurse	ARNP 2892572	FL

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	:	1255597001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDI A MILLER ARNP

Provider Business Mailing Address
First Line	:	8417 VICKSBURG RD.
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-7260
Country	:	US
Telephone Number	:	352-629-0137
Fax Number	:	352-694-4824

Provider Business Practice Location Address
First Line	:	3027 LANDOVER BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-7260
Country	:	US
Telephone Number	:	352-666-0202
Fax Number	:	352-688-6726

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

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	05/06/2009

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