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NPI Code Detail

MEDICARE: WILLIAM M MILLER C.R.N.A.

MEDICARE: WILLIAM M MILLER C.R.N.A.
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 Anesthetist038240IA

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 : 1336257476
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M MILLER C.R.N.A.
Provider Business Mailing Address
First Line : 1213 GARFIELD AVE
Second Line :
City : HARLAN
State : IA
Zip : 51537-2057
Country : US
Telephone Number : 712-755-5161
Fax Number : 712-755-4312
Provider Business Practice Location Address
First Line : 1213 GARFIELD AVE
Second Line :
City : HARLAN
State : IA
Zip : 51537-2057
Country : US
Telephone Number : 712-755-4349
Fax Number : 712-755-4290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 08/14/2007

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