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NPI Code Detail

MEDICARE: ANN MILLER CRNA

MEDICARE:   ANN  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 Anesthetist05029121NH

Other Identifiers

General Provider Information

NPI Number : 1336149863
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MILLER CRNA
Provider Business Mailing Address
First Line : 68 S SERVICE RD
Second Line : SUITE 350
City : MELVILLE
State : NY
Zip : 11747-2354
Country : US
Telephone Number : 516-945-3000
Fax Number :
Provider Business Practice Location Address
First Line : 11 WHITEHALL RD
Second Line : ANESTHESIA DEPARTMENT
City : ROCHESTER
State : NH
Zip : 03867-3226
Country : US
Telephone Number : 603-335-8419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 10/30/2009

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Directions to “ ANN MILLER CRNA” Practice Location

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