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NPI Code Detail

MEDICARE: MRS. JOY LOUISE MILLER LPN

MEDICARE:  MRS. JOY LOUISE MILLER  LPN
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
1164W00000XLicensed Practical Nurse12689IA

General Provider Information

NPI Number : 1932713005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOY LOUISE MILLER LPN
Provider Business Mailing Address
First Line : 3425 N 14TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68521-2126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6830 SW 9TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68523-9127
Country : US
Telephone Number : 402-890-9778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2020
Last Update Date : 09/04/2020

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Directions to “ MRS. JOY LOUISE MILLER LPN” Practice Location

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