MEDICARE: FAITH MILLER

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	163WP0200X	Pediatric Registered Nurse	290975	AZ

General Provider Information

NPI Number	:	1477349843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH MILLER

Provider Business Mailing Address
First Line	:	17624 N 31ST AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-1994
Country	:	US
Telephone Number	:	602-467-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	17624 N 31ST AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-1994
Country	:	US
Telephone Number	:	602-467-5900
Fax Number	:

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

Provider Enumeration Date	:	04/15/2025
Last Update Date	:	04/15/2025

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Directions to “ FAITH MILLER ” Practice Location

Language	Start Address	Practice Location

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