Miller, Brenda

Miller, Brenda is an individual health care provider with primary practice located at 300 Hoffman St , Elmira NY 14905-2263. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller, Brenda can be contacted via phone (607) 734-4110.

Contact Information

Primary practice address
300 Hoffman St Elmira NY 14905-2263
Phone: (607) 734-4110
Fax: (607) 734-0344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F320043 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 320043 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP012504 Pennsylvania

Profile Details

NPI number 1538227558
LBN Legal business name Miller, Brenda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jun 16th, 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 1538227558 NPPES
New York MEDICAID 02388416

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