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NPI Code Detail

MEDICARE: MRS. VANESSA LYNN MILLER F.N.P.

MEDICARE: MRS. VANESSA LYNN MILLER F.N.P.
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
1363LF0000XFamily Nurse PractitionerAPRN9447936FL
2363L00000XNurse PractitionerAPRN9447936FL
3363LF0000XFamily Nurse PractitionerAP3182AZ

Other Identifiers

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

General Provider Information

NPI Number : 1295884575
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VANESSA LYNN MILLER F.N.P.
Provider Business Mailing Address
First Line : PO BOX 100277
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0277
Country : US
Telephone Number : 352-273-9079
Fax Number :
Provider Business Practice Location Address
First Line : 1830 N MAIN ST
Second Line :
City : BELL
State : FL
Zip : 32619-4713
Country : US
Telephone Number : 352-463-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 02/02/2021

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