Miller, Angela C

Miller, Angela C is an individual health care provider with primary practice located at 1701 Jimmie Davis Hwy Suite 200, Bossier City LA 71112-4515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miller, Angela C can be contacted via phone (318) 681-1660.

Contact Information

Primary practice address
1701 Jimmie Davis Hwy Suite 200 Bossier City LA 71112-4515
Phone: (318) 681-1660
Fax: (318) 681-1661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APO4571 Louisiana

Profile Details

NPI number 1770671331
LBN Legal business name Miller, Angela C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Nov 14th, 2016 - about 9 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 1770671331 NPPES
Louisiana MEDICAID 1478491

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