Ericksen-Miller, Kristine

Ericksen-Miller, Kristine is an sole proprietor health care provider with primary practice located at 4321 Birch St Ste 100 , Newport Beach CA 92660-1940. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Ericksen-Miller, Kristine can be contacted via phone (310) 245-6503.

Contact Information

Primary practice address
4321 Birch St Ste 100 Newport Beach CA 92660-1940
Phone: (310) 245-6503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004881 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95004881 California

Profile Details

NPI number 1174079115
LBN Legal business name Ericksen-Miller, Kristine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2016
Last updated Oct 16th, 2018 - about 6 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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