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NPI Code Detail

MEDICARE: SHAYNA MILLER NP

MEDICARE:   SHAYNA  MILLER  NP
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
1163WH0200XHome Health Registered NurseRN207838AZ
2363LF0000XFamily Nurse Practitioner253084AZ

General Provider Information

NPI Number : 1770101172
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA MILLER NP
Provider Business Mailing Address
First Line : 13838 N 36TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85053-5503
Country : US
Telephone Number : 707-364-0119
Fax Number :
Provider Business Practice Location Address
First Line : 3515 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-2429
Country : US
Telephone Number : 623-328-8630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2020
Last Update Date : 02/04/2021

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