Correll-Miller, Roslyn Karen

Correll-Miller, Roslyn Karen is an sole proprietor health care provider with primary practice located at 14527 7Th St , Dade City FL 33523-3102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Correll-Miller, Roslyn Karen can be contacted via phone (352) 521-1474.

Contact Information

Primary practice address
14527 7Th St Dade City FL 33523-3102
Phone: (352) 521-1474
Fax: (352) 521-0212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1925732 Florida
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X ARNP1925732 Florida

Profile Details

NPI number 1639224793
LBN Legal business name Correll-Miller, Roslyn Karen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jun 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639224793 NPPES
Florida MEDICAID 761821200

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