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NPI Code Detail

MEDICARE: DR. MAURA FARRELL MILLER PHD, ARNP, BC

MEDICARE: DR. MAURA FARRELL MILLER PHD, ARNP, BC
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
1363LG0600XGerontology Nurse PractitionerARNP: 1084522FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP1084522FL

General Provider Information

NPI Number : 1710932058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURA FARRELL MILLER PHD, ARNP, BC
Provider Business Mailing Address
First Line : 6526 WINDING LAKE DR
Second Line :
City : JUPITER
State : FL
Zip : 33458-3788
Country : US
Telephone Number : 561-744-5133
Fax Number : 561-744-1634
Provider Business Practice Location Address
First Line : WEST PALM BEACH VAMC 548/118-EC
Second Line : 7305 NORTH MILITARY TRAIL
City : RIVIERA BEACH
State : FL
Zip : 33410-7417
Country : US
Telephone Number : 561-422-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 09/11/2025

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