Miller, Carissa Marie
Miller, Carissa Marie is an individual health care provider with primary practice located at 137 Creamery Rd , Hopewell Junction NY 12533-5271. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miller, Carissa Marie can be contacted via phone (845) 242-4864.Contact Information
Primary practice address
137 Creamery Rd
Hopewell Junction NY 12533-5271
Phone: (845) 242-4864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 643357 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 355400 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7238 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95010836 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 341577 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5019781 | North Carolina |
Profile Details
| NPI number | 1841653334 |
|---|---|
| LBN Legal business name | Miller, Carissa Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2016 |
| Last updated | May 17th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841653334 | NPPES |
| North Carolina | Other | 355400 | NCBON RN LICENSE |
| North Carolina | Other | 5019781 | NCBON RN LICENSE |
| North Carolina | Other | 341577 | NCBON RN LICENSE |
| North Carolina | Other | 7238 | NCBON RN LICENSE |
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