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NPI Code Detail

MEDICARE: MS. MICHELLE MILLER P.A.-C.

MEDICARE: MS. MICHELLE MILLER P.A.-C.
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
1363AM0700XMedical Physician AssistantPA60762365WA

General Provider Information

NPI Number : 1821100355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE MILLER P.A.-C.
Provider Business Mailing Address
First Line : 1400 E KINCAID ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98274-4127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 S 5TH ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98274-3942
Country : US
Telephone Number : 360-428-6434
Fax Number : 360-848-4547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 05/17/2023

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Directions to “ MS. MICHELLE MILLER P.A.-C.” Practice Location

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