MEDICARE: KRISTIN ANGELIC 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	103K00000X	Behavior Analyst	AP30007894	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30007894	WA

General Provider Information

NPI Number	:	1427247410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ANGELIC MILLER ARNP

Provider Business Mailing Address
First Line	:	3711 W WOODSIDE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-4860
Country	:	US
Telephone Number	:	509-990-9416
Fax Number	:	651-602-3665

Provider Business Practice Location Address
First Line	:	3711 W WOODSIDE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-4860
Country	:	US
Telephone Number	:	509-990-9416
Fax Number	:	509-919-4877

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

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	03/18/2026

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