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NPI Code Detail

MEDICARE: BROOKE ANN MILLER APRN

MEDICARE:   BROOKE ANN MILLER  APRN
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 Practitioner3008111KY
2363LF0000XFamily Nurse Practitioner71004509AIN

Other Identifiers

General Provider Information

NPI Number : 1598105660
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE ANN MILLER APRN
Provider Business Mailing Address
First Line : 443 SPRING ST STE 200
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-4494
Country : US
Telephone Number : 812-288-8360
Fax Number : 812-288-8375
Provider Business Practice Location Address
First Line : 443 SPRING ST STE 200
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-4494
Country : US
Telephone Number : 812-288-8360
Fax Number : 812-288-8375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2013
Last Update Date : 08/20/2020

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Directions to “ BROOKE ANN MILLER APRN” Practice Location

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