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NPI Code Detail

MEDICARE: ROSLYN KAREN CORRELL-MILLER N.P.

MEDICARE:   ROSLYN KAREN CORRELL-MILLER  N.P.
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP1925732FL
2163WP0808XPsychiatric/Mental Health Registered NurseARNP1925732FL

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 : 1639224793
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSLYN KAREN CORRELL-MILLER N.P.
Provider Business Mailing Address
First Line : 14527 7TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33523-3102
Country : US
Telephone Number : 352-521-1474
Fax Number : 352-521-0212
Provider Business Practice Location Address
First Line : 14527 7TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33523-3102
Country : US
Telephone Number : 352-521-1474
Fax Number : 352-521-0212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 06/12/2013

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Directions to “ ROSLYN KAREN CORRELL-MILLER N.P.” Practice Location

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