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NPI Code Detail

MEDICARE: CHAD LEE MILLER CRNA

MEDICARE: CHAD LEE MILLER CRNA
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
1367500000XCertified Registered Nurse Anesthetist101195NE

General Provider Information

NPI Number : 1285995175
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD LEE MILLER CRNA
Provider Business Mailing Address
First Line : PO BOX 1328
Second Line :
City : MC COOK
State : NE
Zip : 69001-1328
Country : US
Telephone Number : 308-344-2650
Fax Number : 308-344-8358
Provider Business Practice Location Address
First Line : 1113 SHERMAN ST
Second Line :
City : SAINT PAUL
State : NE
Zip : 68873-1546
Country : US
Telephone Number : 308-754-4421
Fax Number : 308-754-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 02/03/2021

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Directions to “ CHAD LEE MILLER CRNA” Practice Location

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